Individual provider · Type 1 NPI

Ricky O. Tatum, PAC

Physician Assistant · Waycross, GA

NPI number 1073837555 Active

Practice location

306 Isabella St
Waycross, GA 31501-3636

Call (912) 285-9990 Map

Fax (912) 338-8931

Mailing address

1007 Mary St
Waycross, GA 31503-3823

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X002235 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1073837555

Ricky O. Tatum, PAC's National Provider Identifier is 1073837555, issued on Mar 26, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Waycross, GA. The record was last updated on Jan 8, 2026.