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Individual

BRITTANY S WICHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3025 WADE HAMPTON BLVD, TAYLORS, SC 29687-2715
(864) 686-7981
Mailing address
1305 S SUBER RD, GREER, SC 29650-0944
(864) 686-7981

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
PA9109200
FL
363A00000X
Physician Assistant
6498
GA
363A00000X
Physician Assistant
Primary
PA3207
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003126324
GA
05
168581
AL
Enumeration date
07/23/2012
Last updated
02/28/2024
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