Individual
SAMANTHA WICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0509
(804) 675-5000
Mailing address
PO BOX 980663, RICHMOND, VA 23298-0663
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101281608
VA
208M00000X
Hospitalist Physician
0101281608
VA
Other
Enumeration date
05/13/2021
Last updated
06/17/2025
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