Williams, Ricky D
Williams, Ricky D is an sole proprietor health care provider with primary practice located at 500 W Gordon St , Thomaston GA 30286-3415. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Williams, Ricky D can be contacted via phone (706) 647-8965.Contact Information
Primary practice address
500 W Gordon St
Thomaston GA 30286-3415
Phone: (706) 647-8965
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH011359 | Georgia |
Profile Details
| NPI number | 1508827171 |
|---|---|
| LBN Legal business name | Williams, Ricky D |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508827171 | NPPES |
| Georgia | MEDICAID | 00037067A |
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