Individual
JOSHUA JAMES WICKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
380A CEDAR ST, METTER, GA 30439-4042
(800) 827-6536
Mailing address
440 MALL BLVD STE C, SAVANNAH, GA 31406-4868
(912) 644-3340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
42431
AL
207Q00000X
Family Medicine Physician
Primary
89035
GA
Other
Enumeration date
06/07/2018
Last updated
05/11/2026
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