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Individual

DR. WILLIAM E HICKSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
110 EXCHANGE ST, STE F, DANVILLE, VA 24541-3500
(434) 791-1562
(434) 791-3475
Mailing address
110 EXCHANGE ST, STE F, DANVILLE, VA 24541-3500
(434) 791-1562
(434) 791-3475

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101036765
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
054258
ANTHEM
VA
05
5803292
VA
Enumeration date
05/31/2005
Last updated
10/24/2011
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