Individual
HATTIE HICKLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 SASSAFRAS LN, HILTON HEAD, SC 29926-2373
(912) 409-0333
Mailing address
10 BURNT TREE CIR, SAVANNAH, GA 31419-2412
(912) 409-0333
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
563061
SC
374U00000X
Home Health Aide
CN0014219460
GA
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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