Individual
MR. ALVIN T RICKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN,BC
Contact information
Practice address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 656-2211
(601) 389-6391
Mailing address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 656-2211
(601) 389-6391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R801797
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05784539
—
MS
Enumeration date
12/01/2006
Last updated
03/19/2014
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