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Individual
DR. JAMES WILLIS HICKERSON JR.
Active
Individual
DR. JAMES WILLIS HICKERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
48514
KY
207P00000X
Emergency Medicine Physician
Primary
54424
TN
Other
Enumeration date
05/22/2012
Last updated
08/18/2016
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