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Fred Wayne Hicks JR.
Student in an Organized Health Care Education/Training Program in Bristol, Tennessee
NPI 1982353124

Fred Wayne Hicks JR. is a Student in an Organized Health Care Education/Training Program based in Bristol, TN. Fred Wayne Hicks JR. practices in Bristol, TN. The NPI Number for Fred Wayne Hicks JR. is 1982353124 and holds a License No. (Tennessee).

The current practice location address for Fred Wayne Hicks JR. is 208 Medical Park Blvd, Bristol, TN and can be reached out via phone at 423-989-4050 and via fax at 423-990-3044.

Location: 208 Medical Park Blvd, Bristol, TN, 37620-7343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982353124
Provider Name
Fred Wayne Hicks JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
208 Medical Park Blvd, Bristol, TN, 37620-7343
Phone Number
423-989-4050
Fax Number
423-990-3044
Provider Enumeration Date
03/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
208 Medical Park Blvd
City
Bristol
State
Tennessee
Zip
37620-7343
Phone Number
423-989-4050
Fax Number
423-990-3044
person
Provider Business Mailing Address Details
Address
208 Medical Park Blvd
City
Bristol
State
Tennessee
Zip
37620-7343
Phone Number
423-989-4050
Fax Number
423-990-3044
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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