Individual
RONNIE EUGENE HICKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3528 ONEONTA AVE, RALEIGH, NC 27604-3391
(919) 539-4099
(919) 336-1120
Mailing address
3528 ONEONTA AVE, RALEIGH, NC 27604-3391
(919) 539-4099
(919) 336-1120
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NC
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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