Individual
DANA HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3850 WINDERMERE PARKWAY, SUITE 105, CUMMING, GA 30041
(678) 455-2800
(770) 888-9998
Mailing address
3850 WINDERMERE PARKWAY, SUITE 105, CUMMING, GA 30041
(678) 455-2800
(770) 888-9998
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
193160
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00359235
RAILROAD MEDICARE
KY
Enumeration date
07/18/2005
Last updated
02/27/2017
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