RICKY TATUM

UNISON BEHAVIORAL HEALTH

Dr RICKY TATUM is a male medical professional, specializing in Physician Assistant. He graduated in 1979.

Contact

UNISON BEHAVIORAL HEALTH

3455 HARRIS RD
WAYCROSS
GA
315038960

Tel: 9124497200

RICKY TATUM Information

Npi 1073837555
Pac Id 0042340630
Professional Enrollment Id I20100608000568
Last Name TATUM
First Name RICKY
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1979
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name UNISON BEHAVIORAL HEALTH
Group Practice Pac Id 7517852247
Number Of Group Practice Members 14
Line 1 Street Address 3455 HARRIS RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WAYCROSS
State GA
Zip Code 315038960
Phone Number 9124497200
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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