Individual
DR. ALEXANDRA W HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1330 OAK LN STE 101, LYNCHBURG, VA 24503-2513
(434) 847-6132
(434) 845-4870
Mailing address
3493 ROWCROSS ST, CROZET, VA 22932-1568
(646) 284-2390
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101276051
VA
207R00000X
Internal Medicine Physician
2018019722
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
09/29/2023
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