MR. Michael Suttles Hicks, R.PH. D.H.PH.

NPI #1073779260 in Valdosta, Georgia

Provider Information

NPI Number: 1073779260
Entity Type: Individual
Name: MR. Michael Suttles Hicks, R.PH. D.H.PH.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH. D.H.PH.
Enumeration Date: Aug 6, 2008
Last Updated: Aug 6, 2008

Practice Location

Address: 212 NORTHSIDE DR
City: Valdosta
State: Georgia
ZIP Code: 31602-1858
Phone: (229) 242-3060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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