Individual
DR. JAMES WILLIS HICKERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(931) 502-1370
Mailing address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(931) 502-1370
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
48514
KY
207P00000X
Emergency Medicine Physician
Primary
54424
TN
Other
Enumeration date
05/22/2012
Last updated
08/18/2016
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