CHARLES P HICKS

MARIETTA, GA
NPI1619149721
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN157151)
Enumeration Date2008-03-28
Last Update Date2019-08-29
Business Address
CHARLES P HICKS CRNA
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-794-0477
Mailing Address
CHARLES P HICKS CRNA
5671 PEACHTREE DUNWOODY RD NE SUITE 530
ATLANTA, GA 30342-5000
Phone number: 404-257-1415