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Individual

DR. EDWARD V HICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
720 OAKRIDGE BLVD, LUMBERTON, NC 28358
(910) 738-8444
(910) 671-8251
Mailing address
720 OAKRIDGE BLVD, LUMBERTON, NC 28358
(910) 738-8444
(910) 671-8251

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5398
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8993889
NC
01
93889
BC BS OF NC
NC
Enumeration date
08/30/2006
Last updated
07/08/2007
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