Individual
TERESA M HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
149 TWIN LAKE RD, GAFFNEY, SC 29341-2538
(864) 206-3150
(864) 488-0470
Mailing address
149 TWIN LAKE RD, GAFFNEY, SC 29341-2538
(864) 206-6158
(864) 902-3637
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P27334
SC
Other
Enumeration date
11/07/2013
Last updated
02/03/2022
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