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Individual

ANDREA ELAINE RICKETTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2000 RIVERSIDE PKWY STE 107, LAWRENCEVILLE, GA 30043-5926
(404) 405-2321
(678) 623-0904
Mailing address
2000 RIVERSIDE PKWY STE 107, LAWRENCEVILLE, GA 30043-5926
(404) 405-2321
(770) 698-9775

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
119715
GA

Other

Enumeration date
06/17/2013
Last updated
10/31/2019
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