Hickham Ent LLC

NPI #1073105722 in La Place, Louisiana

Provider Information

NPI Number: 1073105722
Entity Type: Organization
Organization Name: Hickham Ent LLC
Primary Specialty: Otolaryngology
Enumeration Date: Feb 4, 2021
Last Updated: Jun 8, 2024

Practice Location

Address: 501 RUE DE SANTE
City: La Place
State: Louisiana
ZIP Code: 70068-5400
Phone: (985) 359-4600

Authorized Official

Name: DR. MICHAEL J HICKHAM, MD
Title: PRESIDENT
Phone: (225) 938-1868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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