Individual
MICHAEL HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
200 CRESCENT CENTRE PARK, INTERNAL MEDICINE HEALTH CARE TEAM A, TUCKER, GA 30084
(770) 496-3625
(770) 496-3717
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
002036
GA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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