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Contact Information

KESHAWN HICKS, RN
1124 RED WOLF LN
DACULA, GA30019-7448
 Phone: 678-517-3521
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Nursing Care

251J00000X
 

Pain Management

163WP0000X
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for

NPI # 1184455420
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/09/2024
Last updated 08/09/2024 - More than a year ago
Identifiers
GA License # RN197191
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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