Organization
CHARLES E RICKARD JR FNP PC
Active
Other names
The Rickard Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E RICKARD JR. FNP,MSN,APN,BC (OWNER)
(731) 989-1007
Entity
Organization
Contact information
Practice address
557 W PARK PL, HENDERSON, TN 38340-2027
(731) 989-1007
(731) 989-0704
Mailing address
557 W PARK PL, HENDERSON, TN 38340-2027
(731) 989-1007
(731) 989-0704
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
44-3960
TN
Other
Enumeration date
05/22/2006
Last updated
05/27/2010
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