Individual
SKYLLER HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1059 HIGHWAY 73, NEWPORT, TN 37821-6034
(423) 608-8729
Mailing address
1059 HIGHWAY 73, NEWPORT, TN 37821-6034
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
254635
TN
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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