Individual
GEORGE ALLEN HICKS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6600 BUSCH BLVD, COLUMBUS, OH 43229-8258
(614) 746-2443
Mailing address
6933 STARFIRE DR, REYNOLDSBURG, OH 43068-1736
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
OCPC.4529
OH
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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