Shannon Hicks, DMD

NPI 1366691917 · on the registry since 2008

Practice

Address: 800 Zeagler Dr
Suite 330
Palatka, FL 32177
Phone: (386) 325-6000
Fax: (386) 325-9306
Organisation at this address: Physimed, P.A.
Ernest Gonzalez
Miguel Dejuk, Pc
Hicks & Hicks Pa
S S Marathe Md Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-09-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida