Individual
CHUAN HE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 EAST HOSPITAL ROAD, FORT EISENHOWER, GA 30905
(347) 484-1987
Mailing address
710 SPOONER DR, EVANS, GA 30809-5860
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
124620
GA
Other
Enumeration date
01/23/2019
Last updated
04/18/2024
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