Hicks, Mary C

Hicks, Mary C is an individual health care provider with primary practice located at 1860 Pennsylvania Ave , Mcdonough GA 30253-9117. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Hicks, Mary C can be contacted via phone (678) 462-1342.

Contact Information

Primary practice address
1860 Pennsylvania Ave Mcdonough GA 30253-9117
Phone: (678) 462-1342
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X

Profile Details

NPI number 1386903789
LBN Legal business name Hicks, Mary C
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2012
Last updated May 7th, 2012 - about 13 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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