Individual
GAIL MIRANDA RICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1095 US HIGHWAY 82 W, LEESBURG, GA 31763-5803
(229) 800-8100
(229) 800-8101
Mailing address
1095 US HIGHWAY 82 W, LEESBURG, GA 31763-5803
(229) 800-8102
(229) 800-8101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN157942
GA
Other
Enumeration date
06/19/2016
Last updated
05/07/2025
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