Individual
GLORIA S. HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 772-4333
Mailing address
7956 VAUGHN RD # 165, MONTGOMERY, AL 36116-6625
(888) 233-1493
(855) 999-1345
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000191427
TN
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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