Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael Suttles Hicks, RPHDHPH

Individual provider Pharmacist · NPI 1073779260

Mr. Michael Suttles Hicks, RPHDHPH is a Pharmacist in Valdosta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2008
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Practice location Address checks out

212 Northside Dr
Valdosta, GA 31602-1858
Phone: (229) 242-3060
Fax: (229) 242-9914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 016110 (GA)

Record details

NPI number1073779260
Entity typeIndividual (Type 1)
GenderMale
Credentials RPHDHPH
Sole proprietorYes
NPI enumeratedAugust 6, 2008
Last updated in NPPESAugust 6, 2008

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