Individual
DR. RICKEY LYNN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 BELK BLVD, OXFORD, MS 38655-5242
(800) 362-0858
(662) 534-7188
Mailing address
PO BOX 1507, TUPELO, MS 38802-1507
(662) 620-7102
(662) 620-7106
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
11309
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125532
—
MS
Enumeration date
06/12/2006
Last updated
07/05/2022
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