Individual
DR. WILLIAM HICKMAN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0669
Mailing address
554 KEILY STREET, JACKSONVILLE, FL 32212
(757) 953-7550
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101262990
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/20/2016
Last updated
07/21/2022
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