Individual
MR. JAMES D HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2252 ADDISON PARK, RIVERDALE, GA 30296
(404) 296-6496
Mailing address
2252 ADDISON PARK, RIVERDALE, GA 30296
(404) 296-6496
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
GA
376J00000X
Homemaker
—
GA
376K00000X
Nurse's Aide
—
GA
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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