Hicksfamilymedicineohio, LLC
NPI #1619685500 in Continental, Ohio
Provider Information
- NPI Number
- 1619685500
- Entity Type
- Organization
- Organization Name
- Hicksfamilymedicineohio, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 9, 2022
- Last Updated
- Jan 31, 2023
Practice Location
- Address
- 102 W ASH ST
- City
- Continental
- State
- Ohio
- ZIP Code
- 45831-9162
- Phone
- (561) 305-9856
Authorized Official
- Name
- DR. STACIE HICKS, D.O.
- Title
- PRESIDENT/OWNER
- Phone
- (561) 305-9856
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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