Individual
JAMES E HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
625 HIGHWAY 28 BYP, ANDERSON, SC 29624-3009
(678) 904-5665
(678) 904-5665
Mailing address
1090 NORTHCHASE PKWY SE, STE 290, MARIETTA, GA 30067
(678) 904-5665
(678) 904-5665
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8139
SC
1223G0001X
General Practice Dentistry
8139
SC
Other
Enumeration date
09/05/2012
Last updated
08/28/2013
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