Individual
CHAILYN A HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1880 WATSON BLVD, WARNER ROBINS, GA 31093-3612
(478) 975-9677
Mailing address
2237 ANTHONY RD, MACON, GA 31204-5823
(478) 731-0486
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH032578
GA
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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