Individual
MS. ELEANOR CLAUDIA RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
430 RANKIN DR, MARION, NC 28752-6568
(828) 659-5375
Mailing address
221 VERNON BRADLEY RD, OLD FORT, NC 28762-7833
(828) 460-1299
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
186736
NC
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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