Individual
AMY ELIZABETH HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3046 HOLDEN SPRING CT, DACULA, GA 30019-1896
(770) 596-4541
Mailing address
3046 HOLDEN SPRING CT, DACULA, GA 30019-1896
(770) 596-4541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN204506
GA
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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