Individual
CHRISTOPHER MICHAEL HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CF-SLP
Contact information
Practice address
502 E GENERAL STEWART WAY STE C, HINESVILLE, GA 31313-2643
(912) 320-4737
(888) 977-3418
Mailing address
1159 WILDWOOD CHURCH RD, PEMBROKE, GA 31321-5632
(912) 667-9860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002689
GA
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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