Individual
MICHAEL G HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1402 MAIN ST, DRMC ED, DANVILLE, VA 24145
(804) 287-7066
(804) 673-9531
Mailing address
PO BOX 8310, VIRIGNIA EMERGENCY ASSOCIATES INC, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0110840453
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110840453
BOARD OF MEDICINE
VA
Enumeration date
04/18/2006
Last updated
12/15/2016
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