Individual
DR. JUDSON STEPHEN HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2315 CENTRAL AVE, SUITE B, AUGUSTA, GA 30904-6272
(706) 739-0071
(706) 739-0820
Mailing address
2315 CENTRAL AVE, SUITE B, AUGUSTA, GA 30904-6272
(706) 739-0071
(706) 739-0820
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN009167
GA
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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