Ricky Tatum, PAC

NPI 1073837555 · on the registry since 2010

Practice

Address: 306 Isabella St
Waycross, GA 31501
Phone: (912) 285-9990
Fax: (912) 338-8931
Organisation at this address: Ware Express Care, Llc
Coastal Pain Center, Llc
South Georgia Surgery Center
Southern Anesthesia Company, Llc.
South Georgia Surgery Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia