Individual
DR. REBECCA HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
515 VETERANS DR, SCOTTSBORO, AL 35768-2128
(256) 574-3067
(256) 574-4186
Mailing address
515 VETERANS DR, SCOTTSBORO, AL 35768-2128
(256) 574-3067
(256) 574-4186
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
14402
AL
207Q00000X
Family Medicine Physician
14402
AL
208D00000X
General Practice Physician
Primary
14402
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009966100
—
AL
01
—
515-04522
BLUE CROSS BLUE SHIELD
AL
Enumeration date
12/29/2006
Last updated
05/29/2020
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