Individual
DR. JANET L. RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
878 LAKELAND DR, JACKSON, MS 39216-4644
(601) 984-6800
(601) 984-6812
Mailing address
878 LAKELAND DR, JACKSON, MS 39216-4644
(601) 984-6800
(601) 984-6812
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16441
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012406
—
MS
01
—
080172477
RAILROAD MEDICARE
—
01
—
73005589
BLUE CROSS OF AL
—
01
—
P00462314
RAILROAD MEDICARE - UP
MS
Enumeration date
09/09/2005
Last updated
02/13/2014
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