Organization
COTTON COUNTY FAMILY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY CHARLES HICKMAN D.C., P.A.-C (PHYSICIAN ASSISTANT)
(580) 875-2800
Entity
Organization
Contact information
Practice address
629 E MISSOURI, WALTERS, OK 73572-1605
(580) 875-2800
(580) 875-2881
Mailing address
629 E MISSOURI ST, WALTERS, OK 73572-1605
(580) 875-2800
(580) 875-2881
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/11/2010
Last updated
09/10/2010
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