Individual
DR. LORETTA HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 HALSEY AVE SE BLDG 550, NAS ATLANTA, NAVAL BRANCH HEALTH CLINIC-ATLANTA, MARIETTA, GA 30060-4277
(678) 655-5018
(678) 655-5306
Mailing address
105 WING MILL RD, ATLANTA, GA 30350-3142
(678) 655-5018
(678) 655-5306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
021998
GA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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