Individual
DR. CHARLES HICKEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5965 E BROAD ST, SUITE 480, COLUMBUS, OH 43213-1562
(614) 766-2006
(614) 751-4085
Mailing address
5965 E BROAD ST, SUITE 480, COLUMBUS, OH 43213-1562
(614) 766-2006
(614) 751-4085
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35043944H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0434426
—
OH
Enumeration date
04/25/2006
Last updated
07/08/2007
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