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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
NC200200915
N208000000XPhysicians
Pediatrics
NC200200915

Other Provider Identifiers:

IssuerNumberStateType
89132M1NC05
UNITED HEALTHCARE020007401
BCBS132M1NC01
Code values:
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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