| Doctor Name: | MS. BETH A HICKS |
| NPI Number: | 1003856469 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.C |
| License Number: | C0002057 |
| Business Practice Address: | 826 Washington Rd Ste 120 Westminster, MD - 211575779 |
| Business Phone Number: | 4108482444 |
| Business Fax Number: | 4108571634 |
| Mailing Address: | 826 Washington Rd Ste 120, WESTMINSTER |
| State: | MD |
| Postal Code: | 211575779 |
| Phone Number: | 4108482444 |
| Fax Number: | 4108571634 |
| NPI Enumeration Date: | 06/07/2006 |
| NPI Last Update Date: | 04/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | C0002057 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |