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1326131681
RICHARD RANDALL RICKETTS
ATLANTA, GA
NPI
1326131681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0120X Surgery, Pediatric Surgery
(Licence: GA 021580)
Enumeration Date
2006-10-01
Last Update Date
2007-07-08
Business Address
Dr. RICHARD RANDALL RICKETTS MD
1975 CENTURY BLVD NE SUITE 6
ATLANTA, GA 30345-3316
Phone number: 404-982-9938
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Mailing Address
Dr. RICHARD RANDALL RICKETTS MD
3287 ALTON RD
ATLANTA, GA 30341-4305
Phone number: 770-452-8817
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