Individual
JOHNA CLARKE RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
101 LAKEPOINTE DR, SAVANNAH, GA 31407-3552
(478) 278-5245
Mailing address
101 LAKEPOINTE DR, SAVANNAH, GA 31407-3552
(478) 278-5245
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003846
GA
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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