Individual
MR. PATRICK WAYNE HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1764
(503) 803-0900
Mailing address
661 ARLINGTON TER SE, MARIETTA, GA 30067-5601
(503) 803-0900
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
157809
GA
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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