Individual
DR. ISABELLA ZITA RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 RIDENOUR BLVD NW, MAK ANESTHESIA, KENNESAW, GA 30152-4501
(770) 702-1806
(770) 693-0810
Mailing address
1300 RIDENOUR BLVD NW, MAK ANESTHESIA, KENNESAW, GA 30152-4501
(770) 702-1806
(770) 693-0810
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
77276
GA
Other
Enumeration date
06/22/2010
Last updated
10/24/2018
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