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NPI Code Detail

MEDICARE: COLIN STEVENS HICKEY DC

MEDICARE: COLIN STEVENS HICKEY DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor3456TN

General Provider Information

NPI Number : 1407521875
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLIN STEVENS HICKEY DC
Provider Business Mailing Address
First Line : 7555 OAK RIDGE HWY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37931-3342
Country : US
Telephone Number : 865-531-8025
Fax Number : 865-531-6480
Provider Business Practice Location Address
First Line : 7555 OAK RIDGE HWY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37931-3342
Country : US
Telephone Number : 865-531-8025
Fax Number : 865-531-6480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2021
Last Update Date : 08/12/2021

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Directions to “ COLIN STEVENS HICKEY DC” Practice Location

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