| Doctor Name: | MRS. KAREN ANDERSON HICKMAN |
| NPI Number: | 1588817621 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN078036 |
| Business Practice Address: | 21 Star Rd Edgefield, SC - 298244209 |
| Business Phone Number: | 8036374035 |
| Business Fax Number: | 8036374039 |
| Mailing Address: | 21 Star Rd, EDGEFIELD |
| State: | SC |
| Postal Code: | 298244209 |
| Phone Number: | 8036374035 |
| Fax Number: | 8036374039 |
| NPI Enumeration Date: | 11/03/2008 |
| NPI Last Update Date: | 10/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | RN078036 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |