Individual
JEFFREY RYAN WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 COLLIER RD NW STE 300, ATLANTA, GA 30309-1740
(404) 350-0009
Mailing address
951 GLENWOOD AVE SE UNIT 1710, ATLANTA, GA 30316-1890
(404) 387-3012
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
192893
GA
363LC0200X
Critical Care Medicine Nurse Practitioner
192893
GA
Other
Enumeration date
12/24/2021
Last updated
12/23/2025
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