Charles E Hicks

NPI #1720186802 in Cleveland, Mississippi

Provider Information

NPI Number: 1720186802
Entity Type: Individual
Name: Charles E Hicks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist - Primary Podiatric Medicine
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 140 NORTH ST
City: Cleveland
State: Mississippi
ZIP Code: 38732-2744
Phone: (662) 843-3668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine	213EP1101X	Primary

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