| Charles E Rickard Jr Fnp Pc | |
|
557 W Park Pl Henderson TN 38340-2027 | |
| (731) 989-1007 | |
| (731) 989-0704 |
| Full Name | Charles E Rickard Jr Fnp Pc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 557 W Park Pl, Henderson, Tennessee |
| Authorized Official Name and Position | Charles E Rickard (OWNER) |
| Authorized Official Contact | 7319891007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E Rickard Jr Fnp Pc 557 W Park Pl Henderson TN 38340-2027 Ph: (731) 989-1007 | Charles E Rickard Jr Fnp Pc 557 W Park Pl Henderson TN 38340-2027 Ph: (731) 989-1007 |
| NPI Number | 1861446858 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 05/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861446858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 44-3960 (Tennessee) | Primary |
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