Michael Suttles Hicks in Valdosta - Pharmacist

Michael Suttles Hicks - NPI 1073779260

Michael Suttles Hicks is a Pharmacist in Valdosta, Georgia. Michael Suttles Hicks practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Michael Suttles Hicks is 1073779260. The last update date is 2008-08-06.

Michael Suttles Hicks's current location address is 212 Northside Dr, Valdosta, Georgia. You can contact this provider via phone number 2292423060 and fax number 2292429914. The mailing address for Michael Suttles Hicks is 212 Northside Dr, Valdosta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Suttles Hicks
Address 212 Northside Dr, Valdosta, Georgia
Phone Number 2292423060
Fax Number 2292429914
Sole Proprietor Y
Credentials R.PH. D.H.

NPI Number Detail

NPI Number 1073779260
Provider Enumeration Date 2008-08-06
Last Updated Date 2008-08-06

Provider Mailing Address Detail

Address 212 Northside Dr
City Valdosta
State Georgia (GA)
Post Code 316021858
Phone Number 2292423060
Fax Number 2292429914

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 16110
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

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FAQs about Michael Suttles Hicks

What is the unique identifier code issued to Michael Suttles Hicks by the Centers for Medicare & Medicaid Services?

The Michael Suttles Hicks has been assigned the NPI (National Provider Identifier) 1073779260. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Michael Suttles Hicks?

The Michael Suttles Hicks is situated at 212 Northside Dr, in the city of Valdosta, state of GA, with the zip code 316021858.

What is Michael Suttles Hicks's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Michael Suttles Hicks is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.

When did Michael Suttles Hicks receive its 1073779260 assignment?

The Michael Suttles Hicks was assigned its 1073779260 on 2008-08-06, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Michael Suttles Hicks last refreshed?

The information related to the Michael Suttles Hicks, including its address, specialty, and other relevant details, was last updated on 2008-08-06.

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