Provider Demographics
NPI:1144774894
Name:MEECE, RICKY (ACS, RDCS, RCIS, RCS)
Entity Type:Individual
Prefix:
First Name:RICKY
Middle Name:
Last Name:MEECE
Suffix:
Gender:M
Credentials:ACS, RDCS, RCIS, RCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 STONEBRIDGE PARK DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-4020
Mailing Address - Country:US
Mailing Address - Phone:615-830-1936
Mailing Address - Fax:
Practice Address - Street 1:1140 STONEBRIDGE PARK DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37069-4020
Practice Address - Country:US
Practice Address - Phone:615-830-1936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00038914246XC2901X, 246XS1301X
TN112693246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography
No246XC2901XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularCardiovascular Invasive Specialist