Search › Georgia › 363AM0700X
Holly Hicks-Deridder, PA-C
NPI 1578641627 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2700 Highway 34 E Bldg 300
Newnan, GA 30265 - Phone
- (770) 304-0987
- Fax
- (770) 251-0938
- Organisation at this address
- Thomas Eye Group Pc
Florida Autism Center
Aica Orthopedics, P.C.
Piedmont Medical Care Corporation
Ankle And Foot Center Of Georgia,LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 74
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-11-01
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 Georgia