Organization
DANIEL T SICKING MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN SICKING (PRESIDENT)
(919) 562-4441
Entity
Organization
Contact information
Practice address
14341 NEW FALLS OF NEUSE STE 100, RALEIGH, NC 27614-8292
(919) 562-4441
(919) 562-5779
Mailing address
14341 NEW FALLS OF NEUSE STE 100, RALEIGH, NC 27614-8292
(919) 562-4441
(919) 562-5779
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
9300396
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7976118
—
NC
Enumeration date
01/17/2008
Last updated
01/24/2008
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