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Individual

JOEL BRIAN HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
750 MORPHY AVE, FAIRHOPE, AL 36532-1812
(251) 928-2375
Mailing address
20798 SOUTHWOOD ST, FAIRHOPE, AL 36532-7282
(334) 549-4437

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-164368
AL

Other

Enumeration date
09/16/2024
Last updated
09/16/2024
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