Mr Thomas Holliday Hicks, LPN is a
Licensed Practical Nurse based in Mauldin, South Carolina. Mr Thomas Holliday Hicks is licensed to practice in South Carolina (license number PR31129) and his current practice location is
103 Keenan Orchard Dr, Mauldin, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(864) 363-6858.
NPI number for Mr Thomas Holliday Hicks is 1861792772 and his current mailing address is 103 Keenan Orchard Dr, Mauldin, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861792772.
Provider's Profile
| Full Name | Mr Thomas Holliday Hicks |
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| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | 103 Keenan Orchard Dr, Mauldin, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861792772
- Provider Enumeration Date: 10/26/2010
- Last Update Date: 10/26/2010
Medical Identifiers
Medical identifiers for Mr Thomas Holliday Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861792772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | PR31129 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Thomas Holliday Hicks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Thomas Holliday Hicks, LPN
103 Keenan Orchard Dr,
Mauldin, SC 29662-3106
Ph: (864) 363-6858 | Mr Thomas Holliday Hicks, LPN
103 Keenan Orchard Dr,
Mauldin, SC 29662-3106
Ph: (864) 363-6858 |
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