CHARLES E HICKS

CLEVELAND, MS
NPI1720186802
Professional NameCHARLES E HICKS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: MS  80066)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
-- CHARLES E HICKS
140 NORTH ST
CLEVELAND, MS 38732-2744
Phone number: 662-843-3668
Mailing Address
-- CHARLES E HICKS
PO BOX 907
CLEVELAND, MS 38732-0907
Phone number: 662-843-3668
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