Individual
KATHERINE ELIZABETH HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
107 MILLS AVE, GREENVILLE, SC 29605-4017
(864) 990-4240
Mailing address
107 MILLS AVE, GREENVILLE, SC 29605-4017
(864) 990-4240
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
159196
CA
207Y00000X
Otolaryngology Physician
47153
TX
207Y00000X
Otolaryngology Physician
88332
SC
207YP0228X
Pediatric Otolaryngology Physician
159196
CA
207YS0123X
Facial Plastic Surgery Physician
159196
CA
207YS0123X
Facial Plastic Surgery Physician
Primary
88332
SC
Other
Enumeration date
03/27/2013
Last updated
12/02/2022
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