Individual
CHARLES B HICKOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 952-1370
Mailing address
150 BLUFF AVE, NORTH AUGUSTA, SC 29841-3862
(800) 394-4445
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0039728
MD
Other
Enumeration date
01/05/2006
Last updated
01/17/2017
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