Individual
BARBARA L RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
526 FAIRVIEW AVE, GREENVILLE, MS 38701-5401
(662) 332-0501
(662) 332-0176
Mailing address
1693 FAIRGROUNDS RD, GREENVILLE, MS 38703-7810
(662) 725-2749
(662) 725-2741
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16166
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120460
—
MS
05
—
1550787
—
LA
Enumeration date
06/04/2006
Last updated
06/25/2008
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