Individual
ANJANEAN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2162 PIEDMONT RD NE, ATLANTA, GA 30224-2317
(770) 209-3663
Mailing address
2162 PIEDMONT RD. NE, ATLANTA, GA 30324-2317
(707) 209-3663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN198259
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
—
Enumeration date
05/04/2016
Last updated
07/06/2022
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