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Contact Information

JOHN R HICKS II, MD
5046 HIGHWAY 17 BYP S
SUITE 100
MYRTLE BEACH, SC29588-4503
 Phone: 843-293-5100
 Fax: 843-293-5101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JOHN R HICKS II · (Male)

NPI Number 1528017951
Status Active
Credentials MD
Entity Individual
Enumeration date 05/10/2006
Last updated 06/27/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 14089
  • SC Medicaid 140895
  • SC Medicaid GP0749
Hospital affiliation(s)
  • GRAND STRAND REGIONAL MEDICAL CENTER - (Acute Care)
    809 82ND PARKWAY
    MYRTLE BEACH, SC 29572
  • WACCAMAW COMMUNITY HOSPITAL - (Acute Care)
    4070 HIGHWAY 17 BYPASS
    MURRELLS INLET, SC 29576
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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