Organization
HICKSFAMILYMEDICINEOHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACIE HICKS D.O. (PRESIDENT/OWNER)
(561) 305-9856
Entity
Organization
Contact information
Practice address
102 W ASH ST, CONTINENTAL, OH 45831-9162
(561) 305-9856
Mailing address
102 W ASH ST, CONTINENTAL, OH 45831-9162
(561) 305-9856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
01/31/2023
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