Individual
MS. DEBORAH CORNWALL HICKS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MED, RD, LDN
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-3043
Mailing address
325 ARBOR TRL, THOMASVILLE, NC 27360-7170
(336) 472-3581
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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