Provider Demographics
NPI:1770806960
Name:SIKOD, SEGA (PA-C)
Entity type:Individual
Prefix:
First Name:SEGA
Middle Name:
Last Name:SIKOD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:919 JR HIGH SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:SCOTLAND NECK
Mailing Address - State:NC
Mailing Address - Zip Code:27874-1219
Mailing Address - Country:US
Mailing Address - Phone:252-826-3143
Mailing Address - Fax:704-527-5533
Practice Address - Street 1:9425 NC HIGHWAY 305
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NC
Practice Address - Zip Code:27845-9679
Practice Address - Country:US
Practice Address - Phone:252-529-7146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-02
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010022440363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical