Individual
STEVEN W SICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-A
Contact information
Practice address
215 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-6600
(770) 345-6611
Mailing address
PO BOX 4313, CANTON, GA 30114-0210
(770) 345-6600
(770) 345-6611
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AUD003634
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807918741A
—
GA
Enumeration date
08/01/2008
Last updated
08/01/2008
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