Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DWAYNE EVERETT HICKS JR.
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · LOUISBURG, NC
Registration Details
- NPI Number
- 1821861345
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2023 (2.4566615388583 yrs)
- Last Updated
- Nov 6, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
1078 LAKE ROYALE129 CHOCTAW DRIVELOUISBURG, NC, 27549Browse NC providers · Browse ZIP 27549
- Phone
- 2524257746
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Other Intellectual Disabilities Residential Treatment Facility Providers in LOUISBURG, NC
| Name | Credential | NPI |
|---|---|---|
| MS. JOAN HEWITT | — | 1588848139 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.