Individual
ANNA LOUISE HICKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
415 FARRS BRIDGE RD, ATTN: ANNA LOUISE HICKLIN, DMD, GREENVILLE, SC 29617-1858
(864) 246-2181
Mailing address
210 LOIS ST, GREENVILLE, SC 29601-2919
(803) 468-2379
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6907
SC
Other
Enumeration date
07/09/2010
Last updated
05/14/2012
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