Individual
MRS. CORTNEY THOMAS RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 HOSPITAL DR, MONROE, NC 28112-6000
(980) 993-3100
Mailing address
600 HOSPITAL DR, MONROE, NC 28112-6000
(980) 993-3100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13000
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2022
Last updated
08/06/2024
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