Individual
MS. BETH LOWRY WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2000 DAN PROCTOR DR, SUITE 180, SAINT MARYS, GA 31558-3810
(912) 576-6450
Mailing address
103 HAZEL LN, BRUNSWICK, GA 31523-9386
(912) 267-1061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004570
GA
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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