Provider Demographics
NPI:1417124413
Name:HICKS, LATOYA DENISE (DO, MPH)
Entity Type:Individual
Prefix:MRS
First Name:LATOYA
Middle Name:DENISE
Last Name:HICKS
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:MISS
Other - First Name:LATOYA
Other - Middle Name:DENISE
Other - Last Name:FITZPATRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO, MPH
Mailing Address - Street 1:210 OXMOOR CIR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6425
Mailing Address - Country:US
Mailing Address - Phone:205-944-3380
Mailing Address - Fax:205-944-3385
Practice Address - Street 1:210 OXMOOR CIR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6425
Practice Address - Country:US
Practice Address - Phone:205-944-3380
Practice Address - Fax:205-944-3385
Is Sole Proprietor?:No
Enumeration Date:2008-05-09
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO.1227207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine