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Individual

MS. CULLEN COVINGTON HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
15 YORKSHIRE ST STE 201, ASHEVILLE, NC 28803-7785
(828) 274-1600
(828) 274-1603
Mailing address
15 YORKSHIRE ST STE 201, ASHEVILLE, NC 28803-7785
(828) 274-1600
(828) 274-1603

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102444
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102444
LICENSE NUMBER
NC
Enumeration date
02/20/2007
Last updated
05/17/2016
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