Individual
DR. PATRIZIA RICCARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1550 COLLEGE ST, MACON, GA 31207-1500
(478) 301-2397
Mailing address
655 1ST ST, MACON, GA 31201-2852
(478) 301-2397
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
040697
CT
2084P0800X
Psychiatry Physician
Primary
242224-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32936
CONTROLLED SUBSTANCE
CT
Enumeration date
03/22/2007
Last updated
03/07/2023
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