Individual
LISA HICHKAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCCPA
Contact information
Practice address
210 MERCER JCT, MACON, GA 31210-4016
(478) 471-8593
(478) 471-8599
Mailing address
160 DEER RIDGE TRL, MACON, GA 31210-5713
(478) 476-9174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002499
GA
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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