Individual provider · Type 1 NPI
Charles E. Hicks
Primary Podiatric Medicine Podiatrist · Cleveland, MS
NPI number
1720186802
Active
Practice location
140 North St
Cleveland, MS 38732-2744
Fax (662) 846-1894
Mailing address
PO Box 907
Cleveland, MS 38732-0907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 80066 (MS) |
Primary Podiatric Medicine Podiatrist: Definition to come...
4 other providers at this address
- Cleveland Foot Clinic IncPrimary Podiatric Medicine Podiatrist Cleveland, MS NPI 1578661633
- East-End Family Medical Clinic, LLCPrimary Care Clinic/Center Cleveland, MS NPI 1487118733
- East-End Family Medical Clinic, LLCRural Health Clinic/Center Cleveland, MS NPI 1780450619
- Cassandra Latasha Shepard, FNPNurse Practitioner Cleveland, MS NPI 1144748898
About NPI 1720186802
Charles E. Hicks's National Provider Identifier is 1720186802, issued on Sep 20, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Cleveland, MS. The record was last updated on Jul 8, 2007.