Ricks, Judy B

Ricks, Judy B is an individual health care provider with primary practice located at 2710 Shoemaker Ln , Snellville GA 30039-8097. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ricks, Judy B can be contacted via phone (678) 344-7023.

Contact Information

Primary practice address
2710 Shoemaker Ln Snellville GA 30039-8097
Phone: (678) 344-7023
Fax: (770) 985-9744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN40616 Georgia

Profile Details

NPI number 1376522532
LBN Legal business name Ricks, Judy B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376522532 NPPES
Georgia MEDICAID 00665046A

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