Dr. Judson Stephen Hickey
Periodontist
2315 Central Ave Suite B
Augusta
, Georgia 30904-6272
Dr. Judson Stephen Hickey
Periodontist
2315 Central Ave Suite B
Augusta
, Georgia 30904-6272
(706) 739-0820
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Judson Stephen Hickey
- 2315 Central Ave Suite B
- Augusta, GA
- Zip : 30904-6272
- Fax : (706) 739-0820
- Phone : (706) 739-0071
Second Address
- Dr. Judson Stephen Hickey
- 2315 Central Ave Suite B
- Augusta, GA
- Zip : 30904-6272
- Fax : (706) 739-0820
- Phone : (706) 739-0071
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | DN009167 | GA |
National Provider Identifier
| NPI | 1033152988 |
|---|---|
| Provider Name | Dr. Judson Stephen Hickey |
| First Address | Augusta, GA 30904-6272 |
| Second Address | Augusta, GA 30904-6272 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.