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1376122713
NATHAN ALEXANDER HICKS
BRIDGEPORT, WV
NPI
1376122713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-05
Last Update Date
2021-04-05
Business Address
NATHAN ALEXANDER HICKS MD
527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV 26330-9010
Phone number: 681-342-3600
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Mailing Address
NATHAN ALEXANDER HICKS MD
2673 DAVISSON RUN RD STE 303
CLARKSBURG, WV 26301-7640
Phone number: 800-541-4009
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