Richard Randall Ricketts in Atlanta - Pediatric Surgery

Richard Randall Ricketts - NPI 1326131681

Richard Randall Ricketts is a Pediatric Surgery in Atlanta, Georgia. Richard Randall Ricketts practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Richard Randall Ricketts is 1326131681. The last update date is 2007-07-08.

Richard Randall Ricketts's current location address is 3287 Alton Rd, Atlanta, Georgia. You can contact this provider via phone number 7704528817. The mailing address for Richard Randall Ricketts is 3287 Alton Rd, Atlanta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Randall Ricketts
Address 3287 Alton Rd, Atlanta, Georgia
Phone Number 7704528817
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1326131681
Provider Enumeration Date 2006-10-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3287 Alton Rd
City Atlanta
State Georgia (GA)
Post Code 303414305
Phone Number 7704528817
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Surgery
Taxonomy 2086S0120X
Licence No 21580
Definition:
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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FAQs about Richard Randall Ricketts

What is the Richard Randall Ricketts's unique identification number?

The Richard Randall Ricketts has been assigned the NPI (National Provider Identifier) Number 1326131681 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Richard Randall Ricketts is located?

The Richard Randall Ricketts is situated at the following address: 3287 Alton Rd, Atlanta, GA, 303414305.

What is Richard Randall Ricketts's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Richard Randall Ricketts is Pediatric Surgery, and the taxonomy code that classifies this field of practice is 2086S0120X.

On what date did Richard Randall Ricketts receive its 1326131681 assignment from the Centers for Medicare & Medicaid Services?

The Richard Randall Ricketts was assigned its 1326131681 on 2006-10-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Richard Randall Ricketts most recently updated or revised?

The information pertaining to Richard Randall Ricketts, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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