Organization
HICKS GYNECOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER O HICKS MD (OWNER)
(601) 421-5211
Entity
Organization
Contact information
Practice address
122 E ACADEMY ST, CANTON, MS 39046-4502
(601) 421-5211
(601) 407-9774
Mailing address
122 E ACADEMY ST, CANTON, MS 39046-4502
(601) 421-5211
(601) 407-9774
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9855
MS
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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