Individual
JORDAN BENNETT WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2000
Mailing address
555 E. CHEVES ST., ATTN: RADIOLOGY DEPARTMENT, FLORENCE, SC 29506-2617
(843) 777-2879
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
08/02/2024
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