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Organization
BETTY HICKS LRD RN LLC
Active
Organization
BETTY HICKS LRD RN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY HICKS LRD,RN (OWNER/PROVIDER)
(803) 448-7894
Entity
Organization
Contact information
Practice address
130 BLANDINA CT, FORT MILL, SC 29708-6433
(803) 448-7894
(803) 961-6757
Mailing address
130 BLANDINA CT, FORT MILL, SC 29708-6433
(803) 448-7894
(803) 961-6757
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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