Carson, Rickey R

Carson, Rickey R is an individual health care provider with primary practice located at 3030 Covington Pike Suite 200, Memphis TN 38128-5049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carson, Rickey R can be contacted via phone (901) 800-2152.

Contact Information

Primary practice address
3030 Covington Pike Suite 200 Memphis TN 38128-5049
Phone: (901) 800-2152
Fax: (901) 384-6309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD013931 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13931 Tennessee

Profile Details

NPI number 1356333561
LBN Legal business name Carson, Rickey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Apr 17th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356333561 NPPES
Tennessee MEDICAID 3882423

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