Individual
DR. ANTHONY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1955 S 3RD ST, MEMPHIS, TN 38109-7713
(901) 515-5800
(901) 515-8590
Mailing address
877 JEFFERSON AVE, MOC LOOP ADMIN, MEMPHIS, TN 38103-2807
(901) 515-4529
(901) 515-4599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25571
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3084290
—
TN
Enumeration date
09/02/2005
Last updated
02/04/2013
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