Provider Demographics
NPI:1417539131
Name:SIKORA, ALICIA MONIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:MONIQUE
Last Name:SIKORA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 CHESTERFIELD HWY
Mailing Address - Street 2:
Mailing Address - City:CHERAW
Mailing Address - State:SC
Mailing Address - Zip Code:29520-7001
Mailing Address - Country:US
Mailing Address - Phone:505-549-3238
Mailing Address - Fax:843-537-5926
Practice Address - Street 1:710 CHESTERFIELD HWY
Practice Address - Street 2:
Practice Address - City:CHERAW
Practice Address - State:SC
Practice Address - Zip Code:29520-7001
Practice Address - Country:US
Practice Address - Phone:843-537-0001
Practice Address - Fax:843-537-5926
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC70017641207Q00000X
390200000X
SCLL90045207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program