# KEVIN B. HICKS, D.O.,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FAMILY PRACTICE AT PEACHTREE-DUNWOODY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538347398
- **Authorized official:** DR. KEVIN B. HICKS D.O. (PHYSICIAN)
- **Authorized official phone:** (770) 481-0019

## Contact information

- **Practice address:** 6105 PEACHTREE DUNWOODY RD STE C115, ATLANTA, GA 30328-5943
- **Practice address phone:** (770) 481-0019
- **Practice address fax:** (770) 481-0408
- **Mailing address:** 6105 PEACHTREE DUNWOODY RD STE C115, ATLANTA, GA 30328-5943
- **Mailing address phone:** (770) 481-0019
- **Mailing address fax:** (770) 481-0408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 52959 | GA | Yes |

## Other

- **Enumeration date:** 02/04/2008
- **Last updated:** 03/27/2019