Hickman, Dana

Hickman, Dana is an individual health care provider with primary practice located at 3850 Windermere Parkway Suite 105, Cumming GA 30041. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hickman, Dana can be contacted via phone (678) 455-2800.

Contact Information

Primary practice address
3850 Windermere Parkway Suite 105 Cumming GA 30041
Fax: (770) 888-9998
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 193160 Georgia

Profile Details

NPI number 1902805328
LBN Legal business name Hickman, Dana
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Feb 27th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902805328 NPPES
Kentucky Other P00359235 RAILROAD MEDICARE

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