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Individual
DR. STACIE HICKS
Active
Individual
DR. STACIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1588
AL
207Q00000X
Family Medicine Physician
Primary
34015494
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
296620
AVMED
FL
01
—
35573
BLUE CROSS BLUE SHIELD FL
FL
01
—
7200001
AETNA
FL
Enumeration date
06/22/2006
Last updated
03/05/2026
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