Individual
DR. CARLTON T HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
312 REDFERN VILLAGE, ST SIMONS ISLAND, GA 31522-1631
(912) 638-8652
(912) 638-0490
Mailing address
312 REDFERN VILLAGE, ST SIMONS ISLAND, GA 31522-1631
(912) 638-8652
(912) 638-0490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000651
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000068307A
—
GA
Enumeration date
07/20/2006
Last updated
05/03/2011
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