Organization
NURSE THICKS DOT SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENNILLE MORRIS HICKS FNP-BC (FAMILY NURSE PRACTITIONER/ OWNER)
(678) 789-0762
Entity
Organization
Contact information
Practice address
5032 OLD GRANT RD, ELLENWOOD, GA 30294-3529
(478) 220-0040
(404) 500-0925
Mailing address
179 COOK DR, ELLENWOOD, GA 30294-2617
(678) 789-0762
(404) 500-0925
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
06/19/2024
Last updated
04/25/2026
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