HOLLY HICKS-DERIDDER

NEWNAN, GA
NPI1578641627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  003338)
Enumeration Date2006-11-02
Last Update Date2011-11-01
Business Address
-- HOLLY HICKS-DERIDDER PA-C
2700 HIGHWAY 34 E BLDG 300
NEWNAN, GA 30265-1330
Phone number: 770-304-0987
Mailing Address
-- HOLLY HICKS-DERIDDER PA-C
2700 HIGHWAY 34 E BLDG 300
NEWNAN, GA 30265-1330
Phone number: 770-304-0987
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