Individual
RICKFORD ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 HERODIAN WAY SE STE 220, SMYRNA, GA 30080-8500
(786) 761-4854
Mailing address
2400 HERODIAN WAY SE STE 220, SMYRNA, GA 30080-8500
(786) 761-4854
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
OCC040511
GA
343800000X
Secured Medical Transport (VAN)
Primary
OCC040511
GA
343900000X
Non-emergency Medical Transport (VAN)
OCC040511
GA
Other
Enumeration date
01/28/2025
Last updated
02/06/2025
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