Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICKY O TATUM, PAC
ActiveRICKY O TATUM, PAC is a Physician Assistant healthcare provider located in WAYCROSS, Georgia. NPI 1073837555 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WAYCROSS, GA
Registration Details
- NPI Number
- 1073837555
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2010 (16.374795487581 yrs)
- Last Updated
- Jan 8, 2026
- License
-
002235 (GA)
Practice Information
- Address
-
306 ISABELLA STWAYCROSS, GA, 315013636Browse GA providers · Browse ZIP 31501
- Phone
- 9122859990
- Fax
- 9123388931
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WAYCROSS, GA
| Name | Credential | NPI |
|---|---|---|
| STANLEY A AGBULOS | PA-C, AA-C | 1861477648 |
| DAVID A RIOS | PA | 1265406334 |
| MR. WILLIAM STEPHEN HUTCHESON | PA-C | 1629283023 |
| CHARLES W. KLEIN III | PA-C | 1700105194 |
| MR. DAVID ROBERT GILL | MSHS, PA | 1952743932 |
| MARGARET BISHOP | — | 1699179663 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.