Individual
MRS. KAREN ANDERSON HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21 STAR RD, EDGEFIELD, SC 29824-4209
(803) 637-4035
(803) 637-4039
Mailing address
21 STAR RD, EDGEFIELD, SC 29824-4209
(803) 637-4035
(803) 637-4039
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R66757
SC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
RN078036
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000606317B
—
GA
Enumeration date
11/03/2008
Last updated
10/01/2014
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