MISS ROSELYN MARIE HICKS MD
Allergy and Immunology
Greensboro, North Carolina
Provider NPI: 1376501957
Provider Information:MISS ROSELYN MARIE HICKS MD
Practice Location:
104 EAST NORTHWOOD STREET GREENSBORO, NC 27401 US
Tel: 336-373-0936 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 207K00000X | Physicians Allergy & Immunology | NC | 200200915 |
N | 208000000X | Physicians Pediatrics | NC | 200200915 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
89132M1 | NC | 05 | |
UNITED HEALTHCARE | 0200074 | 01 | |
BCBS | 132M1 | NC | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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