Individual
SARAH E CICCOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(828) 213-0152
(828) 213-7053
Mailing address
PO BOX 602381, CHARLOTTE, NC 28260-2381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016-02037
NC
207RC0000X
Cardiovascular Disease Physician
Primary
2016-02037
NC
208M00000X
Hospitalist Physician
D75815
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335478400
—
MD
01
—
S062-0509
CAREFIRST BC/BS
MD
Enumeration date
03/28/2010
Last updated
01/04/2022
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