Individual
CARLEE RACHELL HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 ORBY AVE, INDIAN TRAIL, NC 28079-5380
(704) 778-5175
Mailing address
2012 ORBY AVE, INDIAN TRAIL, NC 28079-5380
(704) 778-5175
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
31075125
NC
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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