Individual
AMBER HICKS-THIBODEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
798 OAK RIDGE FARM HWY. SUITE A, MOORESVILLE, NC 28115
(704) 658-0011
(704) 658-0012
Mailing address
798 OAK RIDGE FARM HWY. SUITE A, MOORESVILLE, NC 28115
(704) 658-0011
(704) 658-0012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015-02105
NC
Other
Enumeration date
05/16/2016
Last updated
09/09/2020
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