Individual
MRS. ANGIE HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 W HOSPITAL RD, FORT EISENHOWER, GA 30905-5741
(706) 787-8600
Mailing address
621 STANTON DR, NORTH AUGUSTA, SC 29841-3262
(706) 830-7684
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
23218
SC
363LF0000X
Family Nurse Practitioner
Primary
23218
SC
Other
Enumeration date
10/28/2019
Last updated
01/27/2025
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