DR. Richard Randall Ricketts, MD

NPI #1326131681 in Atlanta, Georgia

Provider Information

NPI Number: 1326131681
Entity Type: Individual
Name: DR. Richard Randall Ricketts, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery - Pediatric Surgery
Credential: MD
Enumeration Date: Oct 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1975 CENTURY BLVD NE
Address 2: SUITE 6
City: Atlanta
State: Georgia
ZIP Code: 30345-3316
Phone: (404) 982-9938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Pediatric Surgery — Pediatric Surgery	2086S0120X	Primary

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