Michael Hickey, PAC

NPI #1932218039 in Tucker, Georgia

Provider Information

NPI Number: 1932218039
Entity Type: Individual
Name: Michael Hickey, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: PAC
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 200 CRESCENT CENTRE PARK
Address 2: INTERNAL MEDICINE HEALTH CARE TEAM A
City: Tucker
State: Georgia
ZIP Code: 30084
Phone: (770) 496-3625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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