Individual
MR. RICKEY R CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3030 COVINGTON PIKE, SUITE 200, MEMPHIS, TN 38128-5049
(901) 800-2152
(901) 384-6309
Mailing address
3030 COVINGTON PIKE, SUITE 100, MEMPHIS, TN 38128-5049
(901) 800-2152
(901) 384-6309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13931
TN
207Q00000X
Family Medicine Physician
MD013931
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3882423
—
TN
Enumeration date
08/16/2005
Last updated
04/17/2013
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