| Ricky O Tatum, PAC | |
|
1007 Mary St, Waycross, GA 31503-3823 | |
| (912) 449-8601 | |
| (912) 449-7060 |
| Full Name | Ricky O Tatum |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1007 Mary St, Waycross, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073837555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 002235 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ricky O Tatum, PAC 1007 Mary St, Waycross, GA 31503-3823 Ph: (912) 449-8601 | Ricky O Tatum, PAC 1007 Mary St, Waycross, GA 31503-3823 Ph: (912) 449-8601 |
Tayler Hutto Allen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2005 Pioneer St, Waycross, GA 31501 Phone: 912-490-7777 Fax: 912-490-7779 | |
Kimberly Cecil, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1218 Alice St, Waycross, GA 31501 Phone: 912-590-0973 Fax: 912-590-0180 | |
Laken Renee Tanner, MSPAP, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1900 Tebeau St, Waycross, GA 31501 Phone: 912-283-3030 | |
John Franklin Jacobs, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-287-2744 Fax: 912-338-6538 | |
Amanda S Smith, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 700 Riverside Ave, Waycross, GA 31501 Phone: 912-490-8546 Fax: 877-221-0052 | |
Mr. Jonathan S Dial, P.A. Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1900 Tebeau St, Waycross, GA 31501 Phone: 912-338-6368 Fax: 912-338-7113 |