Individual
MISS ROSELYN MARIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
104 EAST NORTHWOOD STREET, GREENSBORO, NC 27401
(336) 373-0936
(336) 373-9844
Mailing address
100 WESTWOOD AVE, HIGH POINT, NC 27262-4320
(336) 883-1393
(336) 883-7517
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
200200915
NC
208000000X
Pediatrics Physician
200200915
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200074
UNITED HEALTHCARE
—
01
—
132M1
BCBS
NC
05
—
89132M1
—
NC
Enumeration date
05/03/2006
Last updated
08/13/2010
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