Individual
DR. STEPHEN PAUL WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9228 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9125
(843) 876-7080
(843) 876-7111
Mailing address
9228 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9125
(843) 876-7080
(843) 876-7111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
T1883
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2018
Last updated
06/15/2021
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