Individual
MR. TODD L HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8600 LENOX WAY, MONTGOMERY, AL 36116-6641
(334) 559-9333
Mailing address
8600 LENOX WAY, MONTGOMERY, AL 36116-6641
(334) 559-9333
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-104234
AL
Other
Enumeration date
01/10/2008
Last updated
07/29/2013
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