Individual
JAMES R WICKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5211 W BROAD ST, SUITE 200, RICHMOND, VA 23230-3009
(804) 662-9300
Mailing address
8300 TRABUE RD, RICHMOND, VA 23235-2541
(804) 272-4916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101015141
VA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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