Ricky Tubbs, Llc

NPI 1144627126 - General Practice - 208D00000X

NPI Details
NPI 1144627126
Enumeration Date 11/19/2014
Last Updated 11/19/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name RICKY BRIAN RICKY
Position PHYSICIAN
Phone (256) 368-1509
Fax
Practice Location
613 MARTIN ST N
SUITE 300
PELL CITY AL, 35125-1333, US
Phone (256) 368-1509
Fax
Business Location
1122 SHADY LANE CIR
TALLADEGA AL, 35160-2941, US
Phone (256) 640-0416
Fax (256) 268-7152
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, Ricky Tubbs, Llc NPI is 1144627126, taxonomy code is 208D00000X Ricky Tubbs, Llc physically located at 613 Martin St N, Pell City AL, 35125-1333. NPI Number 1033115704 has the healthcare provider type.

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1144627126 NPI number is provided on an as is basis without warranty of any kind. 1144627126 is maintained by the National Plan & Provider Enumeration System. The contents of Ricky Tubbs, Llc are for informational purposes only.