Individual
DAVID WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, RADIOLOGY RM D125A, ATLANTA, GA 30322-1059
(404) 712-4686
Mailing address
422 LANTERN WOOD DR, SCOTTDALE, GA 30079-6802
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
002125
GA
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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