Individual
MRS. ALICE M HICKEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1450 ROSS CLARK CIRCLE, DOTHAN, AL 36301
(334) 793-5105
(334) 671-5073
Mailing address
1118 ROSS CLARK CIRCLE, STE 700, DOTHAN, AL 36301
(334) 793-5105
(334) 671-5073
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1036273
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51529224
BCBS OF ALABAMA
—
Enumeration date
01/10/2006
Last updated
07/08/2007
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