Individual
RUBY R RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 317-4080
Mailing address
125 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 317-4080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
76097
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3337
MEDICARE
SC
05
—
376421
—
SC
Enumeration date
04/29/2013
Last updated
04/29/2013
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