Provider Demographics
NPI:1568026623
Name:HICKS, ALANA PATRICIA (MD)
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:PATRICIA
Last Name:HICKS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:ALANA
Other - Middle Name:PATRICIA
Other - Last Name:SIWICKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 6069
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29171-6069
Mailing Address - Country:US
Mailing Address - Phone:803-936-7590
Mailing Address - Fax:803-936-7589
Practice Address - Street 1:146 E HOSPITAL DR STE 240
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-4800
Practice Address - Country:US
Practice Address - Phone:803-936-7590
Practice Address - Fax:803-936-7589
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4351046446207V00000X
SC92130207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology