DR. Mack L Hicks, MD

NPI #1154354900 in Kingsport, Tennessee

Provider Information

NPI Number: 1154354900
Entity Type: Individual
Name: DR. Mack L Hicks, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 7, 2006
Last Updated: Jan 3, 2012

Practice Location

Address: 444 CLINCHFIELD STREET
Address 2: SUITE 201
City: Kingsport
State: Tennessee
ZIP Code: 37660-3606
Phone: (423) 230-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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