Jason Hicks, M.D.

NPI #1023034097 in Ridgeland, Mississippi

Provider Information

NPI Number: 1023034097
Entity Type: Individual
Name: Jason Hicks, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 14, 2006
Last Updated: Dec 27, 2013

Practice Location

Address: 6919 OLD CANTON RD
City: Ridgeland
State: Mississippi
ZIP Code: 39157-1268
Phone: (601) 956-0911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Pediatrics	208000000X

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