Organization
RICHARD WA RICKMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD RICKMAN M.D. (MEDICAL DOCTOR)
(229) 469-7729
Entity
Organization
Contact information
Practice address
2804 N OAK ST, SUITE A, VALDOSTA, GA 31602-5914
(229) 469-7730
(229) 469-7729
Mailing address
2804 N OAK ST, SUITE A, VALDOSTA, GA 31602-5914
(229) 469-7730
(229) 469-7729
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
049332
GA
Other
Enumeration date
03/26/2016
Last updated
05/23/2016
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