Individual
ALEXANDER HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
716 MEDICAL CENTER DR, WILMINGTON, NC 28401-7573
(910) 763-0931
Mailing address
716 MEDICAL CENTER DR, WILMINGTON, NC 28401-7573
(910) 763-0931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12193
NC
1223G0001X
General Practice Dentistry
DS042275
PA
Other
Enumeration date
07/09/2019
Last updated
11/08/2022
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