Organization
JEFF HICKMAN LLC
Active
Other names
Cotton County Chiorpractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY CHARLES HICKMAN D.C., P.A.-C (MEMBER)
(580) 510-3005
Entity
Organization
Contact information
Practice address
202 W MISSOURI ST, WALTERS, OK 73572-1246
(580) 875-2800
Mailing address
13811 SW BASELINE RD, FAXON, OK 73540-4418
(580) 510-3005
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3926
OK
261QP2300X
Primary Care Clinic/Center
Primary
1298
OK
Other
Enumeration date
05/04/2009
Last updated
02/23/2010
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