Organization
HICKHAM DERMATOLOGY AND MED SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA RICE HICKHAM MD (OWNER/MD)
(504) 258-0244
Entity
Organization
Contact information
Practice address
4141 BIENVILLE ST STE 108, NEW ORLEANS, LA 70119-5149
(504) 258-0244
Mailing address
4141 BIENVILLE ST STE 108, NEW ORLEANS, LA 70119-5149
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
01/23/2018
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