Individual
JOHN RICKETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 N MONROE ST, ALBANY, GA 31701-1903
(229) 436-7248
(229) 431-1951
Mailing address
1001 N MONROE ST, ALBANY, GA 31701-1903
(229) 436-7248
(229) 431-1951
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
23099
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00287801A
—
GA
Enumeration date
11/07/2005
Last updated
11/10/2010
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