Individual
DR. DANIEL THOMAS SICKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2109 S MAIN ST, SUITE 100, WAKE FOREST, NC 27587-5099
(919) 562-4441
(919) 562-5779
Mailing address
2109 S MAIN ST, SUITE 100, WAKE FOREST, NC 27587-5099
(919) 562-4441
(919) 562-5779
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9300396
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7976118
—
NC
Enumeration date
03/08/2006
Last updated
08/14/2012
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