Individual
DR. JOSHUA AARON HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3185 W STATE ST, SUITE 2010, BRISTOL, TN 37620-1600
(423) 968-7555
(423) 968-7641
Mailing address
3185 W STATE ST, SUITE 2010, BRISTOL, TN 37620-1600
(423) 968-7555
(423) 968-7641
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101251158
VA
207W00000X
Ophthalmology Physician
Primary
48289
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103I185426
—
TN
05
—
1851545677
—
VA
01
—
P010884191
RR MEDICARE
TN
Enumeration date
11/06/2008
Last updated
03/03/2015
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