Individual
GIANNA RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2280 IVY RD STE 2304, CHARLOTTESVILLE, VA 22903-4977
(434) 243-3633
(434) 243-1539
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
0110009865
VA
363AS0400X
Surgical Physician Assistant
Primary
0110009865
VA
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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