Individual ProviderMallory Danielle RickettsObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address320 Pelham Ave SW Ste 301, Huntsville, AL 35801-5051(256) 759-9629(205) 451-6641PECOS EnrollmentBased on the most recent information from CMS, provider Mallory Danielle Ricketts does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1780420208Provider TypeIndividualFull NameRicketts, Mallory DanielleCredentialCNM, WHNP-BCGenderFemaleSole ProprietorNoEnumeration Date7/3/2024Last Updated7/3/2024Contact InformationPractice LocationPractice Address320 Pelham Ave SW Ste 301, Huntsville, AL 35801-5051Phone(256) 759-9629FaxUnlisted FaxMailing LocationMailing Address3827 Jessica Ln, Vestavia, AL 35243-5307Phone(205) 451-6641FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseCNM09441Alabama