Provider Demographics
NPI:1598782922
Name:SYKES, PAUL WILSON (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:WILSON
Last Name:SYKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1985 STARTOWN RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-8307
Mailing Address - Country:US
Mailing Address - Phone:828-327-4745
Mailing Address - Fax:828-322-3569
Practice Address - Street 1:1985 STARTOWN RD
Practice Address - Street 2:SUITE 102
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-8307
Practice Address - Country:US
Practice Address - Phone:828-327-4745
Practice Address - Fax:828-322-3569
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC93-00335207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8981313Medicaid
080112636OtherRAILROAD MEDICARE
NC81313OtherBCBS
NC2189835FMedicare PIN
NCNC2780AMedicare PIN
NC2189835DMedicare PIN
NC2189835CMedicare PIN
NC2189835BMedicare PIN
NC2189835EMedicare PIN
080112636OtherRAILROAD MEDICARE