Individual provider · Type 1 NPI

Jacob Benjamin Hicks

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1396406351 Active

Practice location

451 Lee St SW Apt 5050B
Atlanta, GA 30310-1408

Call (912) 381-4542 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396406351

Jacob Benjamin Hicks's National Provider Identifier is 1396406351, issued on Jan 3, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Jan 3, 2022.