Individual
MR. OSMAN A. HICKLIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1059 BY PASS 123, SENECA, SC 29678-4762
(864) 885-0551
(864) 885-1822
Mailing address
1059 BY PASS 123, SENECA, SC 29678-4762
(864) 885-0551
(864) 885-1822
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15030
SC
2085R0202X
Diagnostic Radiology Physician
53540
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2588
—
SC
Enumeration date
04/26/2006
Last updated
06/11/2015
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