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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HOLLY HICKS-DERIDDER, PA-C

Active Sole Proprietor

HOLLY HICKS-DERIDDER, PA-C is a Medical Physician Assistant healthcare provider located in NEWNAN, Georgia. NPI 1578641627 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · NEWNAN, GA

Registration Details

NPI Number
1578641627
Provider Type
Individual
Gender
Female
NPI Issued
Nov 2, 2006 (19.786810948158 yrs)
Last Updated
Nov 1, 2011
License
003338 (GA)
Sole Proprietor
Yes

Practice Information

Address
2700 HIGHWAY 34 E BLDG 300
NEWNAN, GA, 302651330
Browse GA providers · Browse ZIP 30265
Phone
7703040987
Fax
7702510938
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in NEWNAN, GA

Name Credential NPI
MRS. KAREN SCHARETT SECOR PA-C 1437117280
FELICIA R SLATON P.A. 1437107364
JEFFREY W BROWN PHYSICIAN'S ASSISTAN 1649368952
GARRETT D FREEMAN PA-C 1598846719
RAFFAELA R ISETT P.A. 1619024692
MS. NEELY DARRAGH ALMAND PA-C 1356573281
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.