Individual
DR. JANET G HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1330 OAK LN, SUITE 101, LYNCHBURG, VA 24503-2513
(434) 847-6132
(434) 845-4870
Mailing address
1330 OAK LN, SUITE 101, LYNCHBURG, VA 24503-2513
(434) 847-6132
(434) 845-4870
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101030859
VA
207ND0900X
Dermatopathology Physician
0101030859
VA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
0101030859
VA
207NP0225X
Pediatric Dermatology Physician
0101030859
VA
207NS0135X
Procedural Dermatology Physician
0101030859
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085434
ANTHEM
VA
01
—
1771885
CIGNA
VA
01
—
310024
SOUTHERN HEALTH
VA
05
—
5940460
—
VA
Enumeration date
05/22/2006
Last updated
10/26/2007
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