Individual
MR. JARRED RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 S ENOTA DR NE, SUITE 380, GAINESVILLE, GA 30501-3473
(770) 219-7099
(770) 219-7923
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008254
GA
Other
Enumeration date
12/08/2016
Last updated
02/18/2021
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