John Trimmer Hicks
Rheumatology
917 Bypass 225 S
Greenwood
, South Carolina 29646-8025
John Trimmer Hicks
Rheumatology
917 Bypass 225 S
Greenwood
, South Carolina 29646-8025
(864) 953-9690
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- John Trimmer Hicks
- Po Box 427
- Greenwood, SC
- Zip : 29648-0427
- Fax : (864) 953-9690
- Phone : (864) 953-8002
Second Address
- John Trimmer Hicks
- 917 Bypass 225 S
- Greenwood, SC
- Zip : 29646-8025
- Fax : (864) 953-9690
- Phone : (864) 953-8002
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 15159 | SC |
National Provider Identifier
| NPI | 1104802388 |
|---|---|
| Provider Name | John Trimmer Hicks |
| First Address | Greenwood, SC 29648-0427 |
| Second Address | Greenwood, SC 29646-8025 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/12/2005 |
| Last Update Date | 15/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 571122060 | BLUE CROSS/BLUE SHIELD (01) | SC |
| D05839 | (02) | SC |
| GP3287 | (05) | SC |
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.