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1619149721
CHARLES P HICKS
MARIETTA, GA
NPI
1619149721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN157151)
Enumeration Date
2008-03-28
Last Update Date
2019-08-29
Business Address
CHARLES P HICKS CRNA
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-794-0477
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Mailing Address
CHARLES P HICKS CRNA
5671 PEACHTREE DUNWOODY RD NE SUITE 530
ATLANTA, GA 30342-5000
Phone number: 404-257-1415
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