Jacqueline Michele Hicks D.O.

NPI 1326208117 - Family Medicine - 207Q00000X

NPI Details
NPI 1326208117
Gender Female
Enumeration Date 06/15/2008
Last Updated 08/09/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
111 W CHURCH ST
NASHVILLE NC, 27856-1327, US
Phone (252) 459-4012
Fax (252) 459-9773
Business Location
PO BOX 7200
ROCKY MOUNT NC, 27804-0200, US
Phone (252) 937-0200
Fax (252) 451-0056
Toxanomy
Taxonomy Code 207Q00000X
License State Virginia
License Number 0116020657
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According to our database, Mrs. Jacqueline Michele Hicks D.O. NPI is 1326208117, taxonomy code is 207Q00000X and license number is 0116020657, license state is located at Virginia. Jacqueline Michele Hicks D.O. physically located at 111 W Church St, Nashville NC, 27856-1327. NPI Number Jacqueline Michele Hicks D.O. has the Individual type.

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1326208117 NPI number is provided on an as is basis without warranty of any kind. 1326208117 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Michele Hicks D.O. are for informational purposes only.