Individual
ALICIA WINTERS ICENHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
915 TATE BLVD SE STE 170, HICKORY, NC 28602-4012
(828) 345-0800
Mailing address
915 TATE BLVD SE STE 170, HICKORY, NC 28602-4012
(828) 345-0800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08149
NC
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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