Individual
BETTY YOUNT HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD, RN, LLC
Contact information
Practice address
130 BLANDINA CT, FORT MILL, SC 29708-6433
(704) 984-0646
Mailing address
130 BLANDINA CT, FORT MILL, SC 29708-6433
(704) 984-0646
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
803661
—
163WC0400X
Case Management Registered Nurse
98322
SC
163WD0400X
Diabetes Educator Registered Nurse
98322
SC
Other
Enumeration date
12/30/2020
Last updated
02/08/2022
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