Individual
MR. MARK ANTHONY HICKS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH., B.C.P.S.
Contact information
Practice address
929 AUSTIN BRIDGE RD, DOUGLASVILLE, GA 30134-5138
(770) 656-3082
(678) 715-6113
Mailing address
929 AUSTIN BRIDGE RD, DOUGLASVILLE, GA 30134-5138
(770) 656-3082
(678) 715-6113
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
014863
GA
Other
Enumeration date
08/02/2005
Last updated
07/08/2007
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