# HICKORY FAMILY MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093284366
- **Authorized official:** ANDREA MORGAN MD (OWNER)
- **Authorized official phone:** (601) 954-8096

## Contact information

- **Practice address:** 18199 HIGHWAY 80, HICKORY, MS 39332-3452
- **Practice address phone:** (601) 646-5445
- **Mailing address:** PO BOX 220, HICKORY, MS 39332-0220
- **Mailing address phone:** (601) 646-5445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2018
- **Last updated:** 11/16/2018