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Individual
DR. TRACY HICKS
Active
Individual
DR. TRACY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101051067
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000133671506
UNITED
—
05
—
006201083
—
VA
01
—
0861892
AETNA USHEALTH
—
01
—
11938
CARENET
—
01
—
160049264
RR MEDICARE
—
01
—
226116
ANTHEM
—
01
—
330713
MAMSI
—
01
—
541941044102
TRICARE
—
01
—
6201083
VA PREMIER
—
01
—
69493
SENTARA
—
01
—
9276110
CIGNA
—
01
—
94539
SOUTHERN HEALTH
—
01
—
C09633
GROUP PTAN
VA
Enumeration date
01/18/2006
Last updated
06/21/2013
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