Search › North Carolina › 235Z00000X
Kacy Wickerson
NPI 1831620855 · on the registry since 2017 · sole proprietor
Practice
- Address
- 11112 Scrimshaw Ln
Charlotte, NC 28215 - Phone
- (704) 258-7031
Additional practice sites
- 11112 Scrimshaw Ln, Charlotte, NC
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
235Z00000X - Licence states on file
- GA, SC, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina