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1386903789
MARY C HICKS
MCDONOUGH, GA
NPI
1386903789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
2251P0200X Physical Therapist, Pediatrics
Enumeration Date
2012-05-07
Last Update Date
2012-05-07
Business Address
-- MARY C HICKS PT
1860 PENNSYLVANIA AVE
MCDONOUGH, GA 30253-9117
Phone number: 678-462-1342
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Mailing Address
-- MARY C HICKS PT
709 CRESCENT CIR
CANTON, GA 30115-4772
Phone number:
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