person
Mrs. Carolyn Ricketts, RDCS,RDMS,RVT,ARR
Vascular Sonography Radiologic Technologist in Mc Minnville, Tennessee
NPI 1790728293

Carolyn Ricketts is a Vascular Sonography Radiologic Technologist based in Mc Minnville, TN and is specialized in Vascular Sonography. Carolyn Ricketts practices in Mc Minnville, TN and has the professional credentials of RDCS,RDMS,RVT,ARR. The NPI Number for Carolyn Ricketts is 1790728293 and holds a License No. 10577 (Tennessee).

The current practice location address for Carolyn Ricketts is 9022 Lucky Rd, Mc Minnville, TN and can be reached out via phone at 931-934-2020 and via fax at 931-934-2026.

Location: 9022 Lucky Rd, Mc Minnville, TN, 37110-4486
person
Provider Profile Details
NPI Number
1790728293
Provider Name
Carolyn Ricketts
Credential
RDCS,RDMS,RVT,ARR
Provider Entity Type
Individual
Gender
Female
Address
9022 Lucky Rd, Mc Minnville, TN, 37110-4486
Phone Number
931-934-2020
Fax Number
931-934-2026
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3790225 05 TN
4017629 01 TN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
9022 Lucky Rd
City
State
Zip
37110-4486
Phone Number
931-934-2020
Fax Number
931-934-2026
person
Provider Business Mailing Address Details
Address
9022 Lucky Rd
City
State
Zip
37110-4486
Phone Number
931-934-2020
Fax Number
931-934-2026
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist Cardiovascular
Speciality
Sonography
Taxonomy
License No.
10577 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
License No.
10577 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Sonography
Taxonomy
License No.
079866 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Vascular Sonography
Taxonomy
License No.
10577 (Tennessee)
Definition
Definition to come.
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