Provider Demographics
NPI:1275282162
Name:RICHMOND, NATHAN ELLIOT (MD)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:ELLIOT
Last Name:RICHMOND
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6040 UNIVERSITY TOWN CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26501
Mailing Address - Country:US
Mailing Address - Phone:304-598-6900
Mailing Address - Fax:304-285-7373
Practice Address - Street 1:1900 N WINSTON RD STE 501
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-3605
Practice Address - Country:US
Practice Address - Phone:865-588-8831
Practice Address - Fax:865-588-8841
Is Sole Proprietor?:No
Enumeration Date:2022-03-20
Last Update Date:2025-06-25
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Provider Licenses
StateLicense IDTaxonomies
WV33007207Q00000X
TN73433207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine