Healthcare Provider Details

I. General information

NPI: 1598782922
Provider Name (Legal Business Name): PAUL WILSON SYKES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 10/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1985 STARTOWN RD SUITE 102
HICKORY NC
28602-8307
US

IV. Provider business mailing address

1985 STARTOWN RD SUITE 102
HICKORY NC
28602-8307
US

V. Phone/Fax

Practice location:
  • Phone: 828-327-4745
  • Fax: 828-322-3569
Mailing address:
  • Phone: 828-327-4745
  • Fax: 828-322-3569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number93-00335
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: