Fred Wayne Hicks JR., MD

NPI #1982353124 in Bristol, Tennessee

Provider Information

NPI Number: 1982353124
Entity Type: Individual
Name: Fred Wayne Hicks JR., MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Mar 23, 2022
Last Updated: Aug 4, 2025

Practice Location

Address: 208 MEDICAL PARK BLVD
City: Bristol
State: Tennessee
ZIP Code: 37620-7343
Phone: (423) 989-4050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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