person
Charles E Hicks
Primary Podiatric Medicine Podiatrist in Cleveland, Mississippi
NPI 1720186802

Charles E Hicks is a Primary Podiatric Medicine Podiatrist based in Cleveland, MS and is specialized in Primary Podiatric Medicine. Charles E Hicks practices in Cleveland, MS. The NPI Number for Charles E Hicks is 1720186802 and holds a License No. 80066 (Mississippi).

The current practice location address for Charles E Hicks is 140 North St, Cleveland, MS and can be reached out via phone at 662-843-3668 and via fax at 662-846-1894.

Location: 140 North St, Cleveland, MS, 38732-0907
person
Provider Profile Details
NPI Number
1720186802
Provider Name
Charles E Hicks
Credential
Provider Entity Type
Individual
Gender
Male
Address
140 North St, Cleveland, MS, 38732-0907
Phone Number
662-843-3668
Fax Number
662-846-1894
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00013450 05 MS
institution
Provider Business Practice Location Address Details
Address
140 North St
City
State
Zip
38732-2744
Phone Number
662-843-3668
Fax Number
662-846-1894
person
Provider Business Mailing Address Details
Address
140 North St
City
State
Zip
38732-2744
Phone Number
662-843-3668
Fax Number
662-846-1894
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
80066 (Mississippi)
Definition
Definition to come...
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