Individual
DR. CARY STANLEY HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 WESLEY DRIVE, SUITE 200, CHARLESTON, SC 29407
(843) 571-6880
(843) 571-6880
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15632
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110147633
RAILROAD MEDICARE
SC
01
—
110181901
RAILROAD CARE
SC
05
—
156324
—
SC
01
—
P00727245
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
05/16/2006
Last updated
04/23/2025
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