Organization
KEVIN B. HICKS, D.O.,P.C.
Active
Other names
FAMILY PRACTICE AT PEACHTREE-DUNWOODY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN B. HICKS D.O. (PHYSICIAN)
(770) 481-0019
Entity
Organization
Contact information
Practice address
6105 PEACHTREE DUNWOODY RD STE C115, ATLANTA, GA 30328-5943
(770) 481-0019
(770) 481-0408
Mailing address
6105 PEACHTREE DUNWOODY RD STE C115, ATLANTA, GA 30328-5943
(770) 481-0019
(770) 481-0408
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52959
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6643
MEDICARE GROUP NUMBER
GA
Enumeration date
02/04/2008
Last updated
03/27/2019
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