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Individual

FAITH W HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20 MEDICAL RIDGE DR, GREENVILLE, SC 29605-4267
(864) 220-2006
Mailing address
33 STATION CT APT 405, GREENVILLE, SC 29601-2992
(443) 742-9221

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D00518
MD

Other

Enumeration date
03/25/2020
Last updated
03/25/2020
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