Clarence Hicks

NPI #1356783245 in Byron, Georgia

Provider Information

NPI Number
1356783245
Entity Type
Individual
Name
Clarence Hicks
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Management
Enumeration Date
Jul 22, 2013
Last Updated
Jul 25, 2013

Practice Location

Address
100 HAMILTON POINTE DR
Address 2
SUITE 115 & 120
City
Byron
State
Georgia
ZIP Code
31008
Phone
(478) 477-7531

Specialties & Taxonomy Codes

Specialty
Case Management

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