Individual
MRS. DANA DENISE WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
811 13TH ST STE 11, AUGUSTA, GA 30901-2771
(919) 935-9327
Mailing address
811 13TH ST, AUGUSTA, GA 30901-2700
(706) 823-6177
(706) 823-6884
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN238144
GA
Other
Enumeration date
03/31/2020
Last updated
01/25/2021
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