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STEPHEN CHARLES HICKS DO

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1700366408

Individual Registrant:
 STEPHEN CHARLES HICKS DO
Gender: M
Not Sole Proprietor

Location and contact information for practice:
6725 DEERFOOT PKWY  PINSON, AL 35126-3093 US
Tel: 205-680-9898  Fax: 205-680-3300

Contact information for business:
6725 DEERFOOT PKWY  PINSON, AL 35126-3093 US
Tel: 205-680-9898  Fax: 205-680-3300

Registration Information:
NPI: 1700366408
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N390200000XStudent
Organized Health Care Education/Training Program
ALL.4796R
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
ALDO.2112

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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