Charles E Hicks
Podiatrist, Primary Podiatric Medicine in Cleveland, MS. Individual provider (NPI-1).
NPI number1720186802
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720186802
- Entity type
- Individual (NPI-1)
- Name
- Charles E Hicks
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | 80066 | MS | Yes |
Other names
- Charles E Hicks (Professional Name)
Practice location
140 North StCleveland, MS 38732-2744
Phone 662-843-3668 · Fax 662-846-1894
Mailing address
Po Box 907Cleveland, MS 38732-0907
Phone 662-843-3668 · Fax 662-846-1984
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