Organization
UNITED STATES NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE C HICKS IDC (INDEPENDENT DUTY CORPSMAN)
(843) 574-8242
Entity
Organization
Contact information
Practice address
3600 RIVERS AVE, CHARLESTON, WA 29405
(843) 574-8242
Mailing address
48 HICKORY HALL LN, GOOSE CREEK, SC 29445-6318
(360) 689-9072
Taxonomy
Speciality
Code
Description
License number
State
261QM1103X
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center
Primary
—
TX
Other
Enumeration date
04/03/2009
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us