Individual
CHELSEA AUTUMN HICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12 EXECUTIVE PARK DR NE, STE 331, ATLANTA, GA 30329-2206
(404) 727-5157
(404) 727-4746
Mailing address
12 EXECUTIVE PARK DR NE, STE 331, ATLANTA, GA 30329-2206
(404) 727-5157
(404) 727-4746
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
72860
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2012
Last updated
09/14/2016
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