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Individual

DR. SAMUEL HICKEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
42440 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403-2403
(985) 542-4950
(985) 542-6089
Mailing address
PO BOX 2668, BUSINESS CTR - INS CREDENTIALING, HAMMOND, LA 70404-2403
(985) 230-1682
(985) 230-6652

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
024236
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1489786
LA
Enumeration date
07/18/2005
Last updated
11/16/2024
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