Individual
AMY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 ROME ST, CARROLLTON, GA 30117-3103
(404) 301-4042
Mailing address
104 ROME ST, CARROLLTON, GA 30117-3103
(404) 301-4042
(404) 301-4042
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN216515
GA
Other
Enumeration date
01/30/2017
Last updated
09/21/2022
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