| Charles E Hicks, | |
|
140 North St, Cleveland, MS 38732-2744 | |
| (662) 843-3668 | |
| (662) 846-1894 |
| Full Name | Charles E Hicks |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Primary Podiatric Medicine |
| Location | 140 North St, Cleveland, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720186802 | NPI | - | NPPES |
| 00013450 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 80066 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E Hicks, Po Box 907, Cleveland, MS 38732-0907 Ph: (662) 843-3668 | Charles E Hicks, 140 North St, Cleveland, MS 38732-2744 Ph: (662) 843-3668 |
Dr. Kessa Mauras, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 800 N Pearman Ave, Cleveland, MS 38732 Phone: 888-757-0838 | |
Dr. Richard Michael Cukelj, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 800 N Pearman Ave, Cleveland, MS 38732 Phone: 662-214-8880 Fax: 662-214-8300 | |
Cleveland Foot Clinic Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 140 North St, Cleveland, MS 38732 Phone: 662-843-3668 |