Individual
DOROTHY E HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
503 W COLLEGE ST, FLORENCE, AL 35630-5311
(256) 767-1779
(256) 767-1780
Mailing address
503 W COLLEGE ST, FLORENCE, AL 35630-5311
(256) 767-1779
(256) 767-1780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9819
MN
363A00000X
Physician Assistant
Primary
PA.1504
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
560079100
—
MN
Enumeration date
02/07/2006
Last updated
01/15/2021
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