Doctor Name: | MRS. AMY FOSTER HICKS |
NPI Number: | 1023350618 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | RN188989 |
Business Practice Address: | 6501 Peake Rd Suite 200 Macon, GA - 312108042 |
Business Phone Number: | 4784751413 |
Business Fax Number: | 4784057660 |
Mailing Address: | 6501 Peake Rd, Suite 200 MACON |
State: | GA |
Postal Code: | 312108042 |
Phone Number: | 4784751413 |
Fax Number: | 4784057660 |
NPI Enumeration Date: | 03/21/2013 |
NPI Last Update Date: | 03/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN188989 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |