Provider Demographics
NPI:1659337624
Name:HICKLING, WILLIAM H (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:H
Last Name:HICKLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1103 N ELM ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-6309
Mailing Address - Country:US
Mailing Address - Phone:336-271-3331
Mailing Address - Fax:336-271-3724
Practice Address - Street 1:1103 N ELM ST
Practice Address - Street 2:SUITE 300
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-6309
Practice Address - Country:US
Practice Address - Phone:336-271-3331
Practice Address - Fax:336-271-3724
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC253152084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC130015017OtherPALMETTO GBA RR MEDICARE
NCC84487Medicare UPIN
NC230159Medicare ID - Type Unspecified