CHARLES E HICKS, Primary Podiatric Medicine CLEVELAND, MS

Contact Information

CHARLES E HICKS

140 NORTH ST
CLEVELAND, MS 38732-2744

Phone: 662-843-3668
Fax: 662-846-1894
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Podiatric Medicine	213EP1101X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for CHARLES E HICKS · (Male)

NPI Number	`1720186802`
Status	Active
Credentials
Entity	Individual
Enumeration date	09/20/2006
Last updated	07/08/2007 - About 19 years ago
Sole proprietor ¹	Yes
Identifiers	MS License # 80066 MS Medicaid 00013450
Hospital affiliation(s)	Not Available

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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CHARLES E HICKSPrimary Podiatric Medicine

Contact Information

Specialty

Primary Podiatric Medicine

NPI Profile & details for CHARLES E HICKS · (Male)

Reviews for CHARLES E HICKS

CHARLES E HICKS
Primary Podiatric Medicine