# DANIEL T SICKING MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861678120
- **Authorized official:** DR. DAN SICKING (PRESIDENT)
- **Authorized official phone:** (919) 562-4441

## Contact information

- **Practice address:** 14341 NEW FALLS OF NEUSE STE 100, RALEIGH, NC 27614-8292
- **Practice address phone:** (919) 562-4441
- **Practice address fax:** (919) 562-5779
- **Mailing address:** 14341 NEW FALLS OF NEUSE STE 100, RALEIGH, NC 27614-8292
- **Mailing address phone:** (919) 562-4441
- **Mailing address fax:** (919) 562-5779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 9300396 | NC | Yes |

## Other

- **Enumeration date:** 01/17/2008
- **Last updated:** 01/24/2008