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1154354900
MACK L HICKS
KINGSPORT, TN
NPI
1154354900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN 15018)
Enumeration Date
2006-07-07
Last Update Date
2012-01-03
Business Address
Dr. MACK L HICKS MD
444 CLINCHFIELD STREET SUITE 201
KINGSPORT, TN 37660-3606
Phone number: 423-230-2100
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Mailing Address
Dr. MACK L HICKS MD
444 CLINCHFIELD STREET SUITE 201
KINGSPORT, TN 37660-3606
Phone number: 423-230-2100
Copy
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