JOHNATHAN DANIEL HICKS

JOHNSON CITY, TN
NPI1275238594
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-04
Last Update Date2023-04-04
Business Address
JOHNATHAN DANIEL HICKS DO
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6056
Phone number: 423-439-7280
Mailing Address
JOHNATHAN DANIEL HICKS DO
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6056
Phone number: 423-439-7280
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