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MR. THOMAS HOLLIDAY HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
103 KEENAN ORCHARD DR, MAULDIN, SC 29662-3106
(864) 363-6858
Mailing address
103 KEENAN ORCHARD DR, MAULDIN, SC 29662-3106
(864) 363-6858

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PR31129
SC

Other

Enumeration date
10/26/2010
Last updated
10/26/2010
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