Individual
MRS. BRANDI LINETTE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., C.R.N.P.
Contact information
Practice address
47053 AL HIGHWAY 277, SUITE C, BRIDGEPORT, AL 35740-7205
(256) 437-0555
(256) 437-0404
Mailing address
47053 AL HIGHWAY 277, SUITE C, BRIDGEPORT, AL 35740-7205
(256) 437-0555
(256) 437-0404
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1-090559
AL
Other
Enumeration date
01/15/2007
Last updated
07/09/2007
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