Individual
BRANDON ROGER SICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2633 CELANESE RD, ROCK HILL, SC 29732-1205
(803) 329-5131
(803) 366-6600
Mailing address
P O BOX 602120, ROCK HILL, SC 28260-2120
(803) 329-5131
(803) 366-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17450
SC
207Q00000X
Family Medicine Physician
2006-00021
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13955
BLUE CROSS BLUE SHIELD
NC
01
—
P00243983
RAILROAD MEDICARE
—
05
—
T13660
—
SC
Enumeration date
07/16/2006
Last updated
06/24/2013
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