Individual
RICKY CARNELL CASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
148 KITCHENS RD, WRIGHTSVILLE, GA 31096-8000
(478) 305-1638
Mailing address
148 KITCHENS RD, WRIGHTSVILLE, GA 31096-8000
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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