Individual
DR. JENNIFER O HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
276 NISSAN PKWY, BUILDING E SUITE 100, CANTON, MS 39046-7006
(601) 855-4880
(601) 859-2995
Mailing address
276 NISSAN PKWY, BUILDING E SUITE 100, CANTON, MS 39046-7006
(601) 855-4880
(601) 859-2995
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
09855
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114331
—
MS
01
—
D00992
UPIN
MS
Enumeration date
03/31/2006
Last updated
09/17/2013
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