Hicks, Mark Anthony
Hicks, Mark Anthony is an individual health care provider with primary practice located at 929 Austin Bridge Rd , Douglasville GA 30134-5138. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Hicks, Mark Anthony can be contacted via phone (770) 656-3082.Contact Information
Primary practice address
929 Austin Bridge Rd
Douglasville GA 30134-5138
Phone: (770) 656-3082
Fax: (678) 715-6113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 014863 | Georgia |
Profile Details
| NPI number | 1871594861 |
|---|---|
| LBN Legal business name | Hicks, Mark Anthony |
| Credentials | R.PH., B.C.P.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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