Individual
SALLY AGNER NICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3975 ROBINSON RD, NEWTON, NC 28658-9715
(828) 466-0466
(828) 466-8862
Mailing address
3975 ROBINSON RD, NEWTON, NC 28658-9715
(828) 466-0466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33332
NC
207RR0500X
Rheumatology Physician
Primary
33332
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33332
LICENSE
NC
01
—
62649
BCBS
NC
01
—
8962649
MEDICIAD
NC
Enumeration date
04/28/2008
Last updated
03/07/2023
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