Tatum, Ricky O

Tatum, Ricky O is an individual health care provider with primary practice located at 1007 Mary St , Waycross GA 31503-3823. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Tatum, Ricky O can be contacted via phone (912) 449-8601.

Contact Information

Primary practice address
1007 Mary St Waycross GA 31503-3823
Phone: (912) 449-8601
Fax: (912) 449-7060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002235 Georgia

Profile Details

NPI number 1073837555
LBN Legal business name Tatum, Ricky O
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2010
Last updated Mar 26th, 2010 - about 14 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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