Individual
DR. KEVIN BERNARD HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6105 PEACHTREE DUNWOODY RD STE C115, ATLANTA, GA 30328-5943
(770) 481-0019
(770) 481-0408
Mailing address
6105 PEACHTREE DUNWOODY RD STE C115, ATLANTA, GA 30328-5943
(770) 481-0019
(770) 481-0408
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52959
GA
Other
Enumeration date
09/22/2006
Last updated
03/25/2019
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