Carolyn Ricketts, RDCS, RDMS, RVT, ARR
Radiologic Technologist, Vascular Sonography in Mc Minnville, TN. Individual provider (NPI-1).
NPI number1790728293
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1790728293
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Carolyn Ricketts
- Credential
- RDCS, RDMS, RVT, ARR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471V0105X | Radiologic Technologist, Vascular Sonography | 10577 | TN | Yes |
| 246XS1301X | Spec/Tech, Cardiovascular, Sonography | 10577 | TN | |
| 2471C3402X | Radiologic Technologist, Radiography | 079866 | TN | |
| 2471S1302X | Radiologic Technologist, Sonography | 10577 | TN |
Practice location
9022 Lucky RdMc Minnville, TN 37110-4486
Phone 931-934-2020 · Fax 931-934-2026
Mailing address
9022 Lucky RdMc Minnville, TN 37110-4486
Phone 931-934-2020 · Fax 931-934-2026
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