Provider Demographics
NPI:1235910522
Name:HICKMAN, EMMA PARRIS (DC)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:PARRIS
Last Name:HICKMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-9440
Mailing Address - Country:US
Mailing Address - Phone:336-413-5949
Mailing Address - Fax:
Practice Address - Street 1:100 TIMBER TRAIL RD STE 203
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-9430
Practice Address - Country:US
Practice Address - Phone:912-643-2077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR011043111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor