MEDICARE: DR. RICKEY BASKETT JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2015-01395	NC

General Provider Information

NPI Number	:	1568717072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICKEY BASKETT JR. M.D.

Provider Business Mailing Address
First Line	:	9768 HOLLY SPRINGS ROAD
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27539
Country	:	US
Telephone Number	:	919-599-0988
Fax Number	:	919-504-9243

Provider Business Practice Location Address
First Line	:	9768 HOLLY SPRINGS ROAD
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27539
Country	:	US
Telephone Number	:	919-599-0988
Fax Number	:	919-504-9243

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2012
Last Update Date	:	03/06/2026

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