Individual
CHARLES P HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 794-0477
(770) 794-3108
Mailing address
5671 PEACHTREE DUNWOODY RD NE, SUITE 530, ATLANTA, GA 30342-5000
(404) 257-1415
(404) 851-1649
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN157151
GA
Other
Enumeration date
03/28/2008
Last updated
08/29/2019
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