Individual
DR. JOSEPH BEAMAN WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 CANTER LN, PINEHURST, NC 28374-8666
(910) 295-2920
(910) 295-4640
Mailing address
PO BOX 5249, PINEHURST, NC 28374-5249
(910) 295-2920
(910) 295-4640
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26166
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1323X
BC OF NC STATE HEALTH PLA
NC
01
—
87317
BCBS OF NC
NC
05
—
8987269
—
NC
05
—
Q26166
—
SC
Enumeration date
05/12/2006
Last updated
11/16/2011
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