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Individual

LAURI A HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1600 CLIFTON RD NE, MS C-23, ATLANTA, GA 30329-4018
(404) 639-2204
Mailing address
1600 CLIFTON RD NE, MS C-23, ATLANTA, GA 30329-4018
(404) 639-2204

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
040810
CT
207RI0200X
Infectious Disease Physician
Primary
059671
GA

Other

Enumeration date
02/04/2008
Last updated
02/04/2008
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