Individual
LAURAE DANIELLE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3960 NEW COVINGTON PIKE, MEMPHIS, TN 38128-2504
(901) 516-5741
(901) 516-5986
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27913
MS
207R00000X
Internal Medicine Physician
Primary
57640
TN
207R00000X
Internal Medicine Physician
E-13885
AR
208M00000X
Hospitalist Physician
57640
TN
Other
Enumeration date
03/31/2015
Last updated
01/11/2024
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