| Doctor Name: | DR. REBECCA HICKS |
| NPI Number: | 1346306867 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 14402 |
| Business Practice Address: | 515 Veterans Dr Scottsboro, AL - 357682128 |
| Business Phone Number: | 2565743067 |
| Business Fax Number: | 2565744186 |
| Mailing Address: | Po Box 1036, SCOTTSBORO |
| State: | AL |
| Postal Code: | 357681036 |
| Phone Number: | 2565743067 |
| Fax Number: | 2565744186 |
| NPI Enumeration Date: | 12/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14402 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |