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Randy Hicks
NPI 1841880655 · on the registry since 2021 · sole proprietor
Practice
- Address
- 95 Sullivan Ln
La Fayette, GA 30728 - Phone
- (423) 298-5079
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-13
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