Individual
CHARITY HEATHERJO HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 MEDICAL CENTER DR, CLARKSBURG, WV 26301
(304) 623-3461
Mailing address
1 MEDICAL CENTER DR, CLARKSBURG, WV 26301
(304) 623-3461
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
119645
WV
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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