Doctor Name: | DR. JENNIFER O HICKS |
NPI Number: | 1649231408 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 09855 |
Business Practice Address: | 276 Nissan Pkwy Building E Suite 100 Canton, MS - 390467006 |
Business Phone Number: | 6018554880 |
Business Fax Number: | 6018592995 |
Mailing Address: | 276 Nissan Pkwy, Building E Suite 100 CANTON |
State: | MS |
Postal Code: | 390467006 |
Phone Number: | 6018554880 |
Fax Number: | 6018592995 |
NPI Enumeration Date: | 03/31/2006 |
NPI Last Update Date: | 09/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 09855 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |