Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Addison Souza Hicks, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336776087

Dr. Addison Souza Hicks, MD is a Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1215 Lee St
Charlottesville, VA 22908-0816
Phone: (434) 924-1931
Fax: (434) 243-5770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1336776087
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESMarch 24, 2020
Certification dateMarch 24, 2020

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