Individual
HAROLD EUGENE HICKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS CERT OF ORTHODON
Contact information
Practice address
753 CARROLL STREET, PERRY, GA 31069-3368
(478) 987-6522
(770) 234-5477
Mailing address
753 CARROLL STREET, PERRY, GA 31069-3368
(478) 987-6522
(770) 234-5477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
015639
MO
122300000X
Dentist
Primary
8192
GA
Other
Enumeration date
10/13/2006
Last updated
05/29/2009
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