Individual
DR. RANDALL C. RICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 E BELL ST, MURFREESBORO, TN 37130-3001
(615) 890-9191
(615) 890-2200
Mailing address
515 E BELL ST, MURFREESBORO, TN 37130-3001
(615) 890-9191
(615) 890-2200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13277
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13277
LICENSE #
TN
01
—
3059248
BLUE CROSS PROVIDER #
TN
Enumeration date
07/01/2006
Last updated
07/08/2007
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