Individual
DR. CICELY MONIQUE PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 TWIN SPRINGS RD, HALETHORPE, MD 21227-3553
(800) 777-7904
Mailing address
701 PUMPHREY FARM DR, MILLERSVILLE, MD 21108-1485
(410) 299-5101
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D61821
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038
CAREFIRST-DC
MD
05
—
376751500
—
MD
01
—
642258-02
CAREFIRST-MD
MD
Enumeration date
06/22/2005
Last updated
06/17/2021
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