# ALL AGES FAMILY MEDICINE, INC.

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

## Provider details

- **NPI number:** 1902095490
- **Authorized official:** DR. MARK A HICKMAN M.D. (PRESIDENT)
- **Authorized official phone:** (740) 362-8686

## Contact information

- **Practice address:** 241 PADDOCK CT, DELAWARE, OH 43015-1317
- **Practice address phone:** (740) 362-8686
- **Practice address fax:** (740) 363-4662
- **Mailing address:** 241 PADDOCK CT, DELAWARE, OH 43015-1317
- **Mailing address phone:** (740) 362-8686
- **Mailing address fax:** (740) 363-4662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35076870H | OH | Yes |

## Other

- **Enumeration date:** 10/19/2007
- **Last updated:** 10/19/2007