Individual
HARRY EUGENE HICKLIN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2728 SUNSET BLVD STE 300, WEST COLUMBIA, SC 29169-4815
(803) 744-4900
(803) 744-4938
Mailing address
WAKE FOREST BAPTIST MEDICAL CENTER GME OFFICE, WINSTON SALEM, NC 27157-0001
(336) 716-5222
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
94062
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2018
Last updated
09/15/2025
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