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Search › Tennessee › 225800000X

Shannon Hicks, CTRS

NPI 1659558005 · on the registry since 2008

Practice

Address
1030 Jefferson Ave
Memphis, TN 38104
Phone
(901) 523-8990
Organisation at this address
Memphis Vamc
Va Medical Center
Seec Recruiting Llc
Vetrans Administration
Memphis Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
562

Registry record

Primary taxonomy
225800000X
225800000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-01-29

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 Tennessee