Individual
MRS. AMY FOSTER HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
197 BASS RD, MACON, GA 31210-2060
(478) 477-0966
(478) 254-3146
Mailing address
197 BASS RD, MACON, GA 31210-2060
(478) 477-0966
(478) 254-3146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN188989
GA
Other
Enumeration date
03/21/2013
Last updated
09/23/2024
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