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1033656962
AMY HICKS
CARROLLTON, GA
NPI
1033656962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN216515)
Enumeration Date
2017-01-30
Last Update Date
2022-09-21
Business Address
AMY HICKS
104 ROME ST
CARROLLTON, GA 30117-3103
Phone number: 404-301-4042
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Mailing Address
AMY HICKS
104 ROME ST
CARROLLTON, GA 30117-3103
Phone number: 404-301-4042
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