Organization
HICKHAM DERMATOLOGY AND MED SPA LLC
Active
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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