Individual
MARY CAPERS ELDER WICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5665 NEW NORTHSIDE DR STE 220, ATLANTA, GA 30328-5831
(615) 260-0199
Mailing address
691 14TH ST NW UNIT 511, ATLANTA, GA 30318-5620
(615) 260-0199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12107
GA
Other
Enumeration date
09/20/2022
Last updated
12/01/2025
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