Individual
WICKLIFFE J MANY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
00006677
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000014514
—
AL
01
—
051014514
BCBS OF AL
AL
01
—
636005396005
HUMANA GOLD CHOICE MEDICARE
—
Enumeration date
03/23/2006
Last updated
08/16/2018
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