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Homer David Hickey JR., MD
Urology Physician in Germantown, Tennessee
NPI 1114985272

Homer David Hickey JR. is a Urology Physician based in Germantown, TN. Homer David Hickey JR. practices in Germantown, TN and has the professional credentials of MD. The NPI Number for Homer David Hickey JR. is 1114985272 and holds a License No. 05554 (Tennessee).

The current practice location address for Homer David Hickey JR. is 1325 Wolf Park Dr, Germantown, TN and can be reached out via phone at 901-252-3400 and via fax at 901-682-0047.

Location: 1325 Wolf Park Dr, Germantown, TN, 38138-1742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114985272
Provider Name
Homer David Hickey JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1325 Wolf Park Dr, Germantown, TN, 38138-1742
Phone Number
901-252-3400
Fax Number
901-682-0047
Provider Enumeration Date
05/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2005835 01 BLUE CROSS TN
3153875 05 TN
4664755 01 AETNA
02110025700 01 QUAL CHOICE
770396 01 FIRST HEALTH
12939795 01 PHCS
3153875 01 ALL OTHER TENNCARE PLANS
6107353 01 CIGNA
12939795 01 HEALTH ASSURANCE EPA
2005835 01 TENNCARE SELECT
211159 01 SOUTHERN HEALTH SERVICES
381844 01 HEALTH LINK
92802 01 BLUE CROSS AR
institution
Provider Business Practice Location Address Details
Address
1325 Wolf Park Dr
City
Germantown
State
Tennessee
Zip
38138-1742
Phone Number
901-252-3400
Fax Number
901-682-0047
person
Provider Business Mailing Address Details
Address
1325 Wolf Park Dr
City
Germantown
State
Tennessee
Zip
38138-1742
Phone Number
901-252-3400
Fax Number
901-682-0047
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
05554 (Tennessee)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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