NPI 1790531002

George Allen Hicks

Practitioner Prevention Professional Columbus, OH

Practice location

Address: 6600 Busch Blvd, Columbus, OH 43229-8258
Phone: (614) 746-2443
Mailing address: 6933 Starfire Dr, Reynoldsburg, OH 43068-1736

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence OCPC.4529 (OH)

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Registry record

NPI: 1790531002
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Apr 2024
Record last updated: 26 Apr 2024

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.