Dr. Richard Randall Ricketts
Pediatric Surgery
1975 Century Blvd Ne Suite 6
Atlanta
, Georgia 30345-3316
Dr. Richard Randall Ricketts
Pediatric Surgery
1975 Century Blvd Ne Suite 6
Atlanta
, Georgia 30345-3316
(770) 452-8817
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. Richard Randall Ricketts
- 3287 Alton Rd
- Atlanta, GA
- Zip : 30341-4305
- Phone : (770) 452-8817
Second Address
- Dr. Richard Randall Ricketts
- 1975 Century Blvd Ne Suite 6
- Atlanta, GA
- Zip : 30345-3316
- Fax : (404) 982-9136
- Phone : (404) 982-9938
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 021580 | GA |
National Provider Identifier
| NPI | 1326131681 |
|---|---|
| Provider Name | Dr. Richard Randall Ricketts |
| First Address | Atlanta, GA 30341-4305 |
| Second Address | Atlanta, GA 30345-3316 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.