Individual
MS. WINNIE CLAIRE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
571 S ALLEN RD, FLAT ROCK, NC 28731
(828) 692-6178
(828) 692-6764
Mailing address
571 S ALLEN RD, FLAT ROCK, NC 28731-9447
(828) 692-6178
(828) 692-6764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
029466
GA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
2010-00216
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000369597A
—
GA
01
—
022J
BCBS
NC
01
—
029466
MEDICAL DOCTOR
GA
01
—
2010-00216
MEDICAL DOCTOR
NC
01
—
238379
BLUECROSS/BLUE SHIELD
GA
01
—
GRP2943
MEDICARE GRP
GA
Enumeration date
06/28/2006
Last updated
03/07/2023
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