Individual
WHITNEY A. HICKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3214 E RACE AVE, SEARCY, AR 72143-4810
(501) 268-6121
Mailing address
3214 E RACE AVE, SEARCY, AR 72143-4810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-591
AR
Other
Enumeration date
09/01/2015
Last updated
04/25/2017
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