Carolyn Ricketts in Mc Minnville - Sonography

Carolyn Ricketts - NPI 1790728293

Carolyn Ricketts is a Sonography in Mc Minnville, Tennessee. Carolyn Ricketts practices all healthcare services and medical treatments related to Sonography. The NPI Number for Carolyn Ricketts is 1790728293. The last update date is 2007-07-08.

Carolyn Ricketts's current location address is 9022 Lucky Rd, Mc Minnville, Tennessee. You can contact this provider via phone number 9319342020 and fax number 9319342026. The mailing address for Carolyn Ricketts is 9022 Lucky Rd, Mc Minnville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Carolyn Ricketts
Address 9022 Lucky Rd, Mc Minnville, Tennessee
Phone Number 9319342020
Fax Number 9319342026
Sole Proprietor X
Credentials RDCS, RDMS

NPI Number Detail

NPI Number 1790728293
Provider Enumeration Date 2006-06-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9022 Lucky Rd
City Mc Minnville
State Tennessee (TN)
Post Code 371104486
Phone Number 9319342020
Fax Number 9319342026

Provider's Primary Taxonomy Detail

Speciality Sonography
Taxonomy 2471S1302X
Licence No 10577
Definition:
A radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3790225 TN --
4017629 TN BLUE CROSS BLUE SHIELD

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FAQs about Carolyn Ricketts

What is the unique 10-digit identification code assigned to Carolyn Ricketts by the Centers for Medicare & Medicaid Services?

The Carolyn Ricketts has been issued the NPI (National Provider Identifier) 1790728293, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Carolyn Ricketts's facilities are geographically located?

The facilities of Carolyn Ricketts are physically situated at the following location: 9022 Lucky Rd, Mc Minnville, TN, 371104486.

What is the area of specialization for Carolyn Ricketts, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Carolyn Ricketts is Sonography, and the corresponding taxonomy code that categorizes this area of expertise is 2471S1302X.

On what date was the 1790728293 assigned to Carolyn Ricketts?

The Carolyn Ricketts was issued its 1790728293 on 2006-06-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Carolyn Ricketts most recently updated or refreshed?

The details pertaining to the Carolyn Ricketts, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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