All Medicaid billing entities listing HICKMAN, MISTY (PRACTICE ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Tennessee | 1 | $19K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | OB-GYN CENTRE OF EXCELLENCE PC | CHATTANOOGA, TN | Obstetrics & Gynecology Physician | $19K |