MS. Theresa Isabella Hicks, PA-C

NPI #1184214066 in Rock Hill, South Carolina

Provider Information

NPI Number: 1184214066
Entity Type: Individual
Name: MS. Theresa Isabella Hicks, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 25, 2021
Last Updated: Sep 16, 2024

Practice Location

Address: 1665 HERLONG CT STE B
City: Rock Hill
State: South Carolina
ZIP Code: 29732-1193
Phone: (704) 335-9794

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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