Individual
ERIN HICKS
Active
Individual
ERIN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
MT006620
GA
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
MT006620
GA
225700000X
Massage Therapist
Primary
MT006620
GA
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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