Jeanne Ellen Hicks MD

NPI 1669635504 - Specialist - 1744R1102X

NPI Details
NPI 1669635504
Gender Female
Enumeration Date 07/09/2008
Last Updated 07/09/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
6410 HARRISON RD
CHARLOTTE NC, 28270-2855, US
Phone (704) 845-8279
Fax
Business Location
6410 HARRISON RD
CHARLOTTE NC, 28270-2855, US
Phone (704) 845-8279
Fax
Toxanomy
Taxonomy Code 1744R1102X
License State North Carolina
License Number 15726
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According to our database, Dr. Jeanne Ellen Hicks MD NPI is 1669635504, taxonomy code is 1744R1102X and license number is 15726, license state is located at North Carolina. Jeanne Ellen Hicks MD physically located at 6410 Harrison Rd, Charlotte NC, 28270-2855. NPI Number Jeanne Ellen Hicks MD has the Individual type.

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1669635504 NPI number is provided on an as is basis without warranty of any kind. 1669635504 is maintained by the National Plan & Provider Enumeration System. The contents of Jeanne Ellen Hicks MD are for informational purposes only.