person
Jacob Benjamin Hicks
Student in an Organized Health Care Education/Training Program in Atlanta, Georgia
NPI 1396406351

Jacob Benjamin Hicks is a Student in an Organized Health Care Education/Training Program based in Atlanta, GA. Jacob Benjamin Hicks practices in Atlanta, GA. The NPI Number for Jacob Benjamin Hicks is 1396406351 and holds a License No. (Georgia).

The current practice location address for Jacob Benjamin Hicks is 451 Lee St Sw Apt 5050B, Atlanta, GA and can be reached out via phone at 912-381-4542.

Location: 451 Lee St Sw Apt 5050B, Atlanta, GA, 30310-1408
person
Provider Profile Details
NPI Number
1396406351
Provider Name
Jacob Benjamin Hicks
Credential
Provider Entity Type
Individual
Gender
Male
Address
451 Lee St Sw Apt 5050B, Atlanta, GA, 30310-1408
Phone Number
912-381-4542
Fax Number
Provider Enumeration Date
01/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
451 Lee St Sw Apt 5050B
City
State
Zip
30310-1408
Phone Number
912-381-4542
Fax Number
person
Provider Business Mailing Address Details
Address
451 Lee St Sw Apt 5050B
City
State
Zip
30310-1408
Phone Number
912-381-4542
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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