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Dr. Brandon Hicks, M.D.

Emergency Medicine in Athens, GA. Individual provider (NPI-1).

NPI number1104804491
StatusActive
Last updated in NPPESNov 8, 2007

Details

NPI
1104804491
Entity type
Individual (NPI-1)
Name
Dr. Brandon Hicks
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 6, 2006
Last updated
Nov 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine46683GAYes

Practice location

1230 Baxter St
Athens, GA 30606-3712

Phone 706-543-3449

Mailing address

Po Box 48298
Athens, GA 30604-8298

Phone 706-543-3449

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