IndividualActive
Addison Hicks, MD
NPI 1336776087 · Student in an Organized Health Care Education/Training Program · Charlottesville, VA
Provider details
- NPI number
- 1336776087
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
1215 Lee St
Charlottesville, VA 22908-0816
Phone: (434) 924-1931
Fax: (434) 243-5770
Approximate (ZIP-level) locationGet directions
Mailing address
1215 Lee St
Charlottesville, VA 22908-0816
Registry dates
- Enumerated
- 2020-03-24
- Last updated
- 2020-03-24
- Certified
- 2020-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.