Whalio Doctors

NPI 1033209606

William Leslie Hickerson, MD

Practitioner Plastic and Reconstructive Surgery Physician Memphis, TN

Practice location

Address
890 Madison Ave Suite Tg032, Memphis, TN 38103-3409
Phone
(901) 448-2579
Fax
(901) 448-2602

Registered specialties (3)

Plastic and Reconstructive Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 12709 (TN)
Plastic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence E-4374 (AR)
Plastic and Reconstructive Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence E-4374 (AR)

Registry record

NPI
1033209606
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Oct 2006
Record last updated
18 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.