Individual
MS. SARAH ELIZABETH HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 ASHVILLE AVE, SUITE 440, CARY, NC 27518-6600
(919) 350-8585
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-06301
NC
363AM0700X
Medical Physician Assistant
Primary
0010-06301
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009563500
—
FL
05
—
1013914837
—
NC
01
—
5813921
AETNA
FL
01
—
7048908
CIGNA
FL
01
—
P01213609
RR MEDICARE
FL
01
—
P1019783
FREEDOM
FL
01
—
P958311
OPTIMUM
FL
01
—
Y0J2Z
BCBS OF FL
FL
Enumeration date
07/07/2005
Last updated
09/22/2022
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