Individual
REBECCAH SHIERSON WICKERHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 RANDOLPH RD, SUITE 900, CHARLOTTE, NC 28207-1122
(704) 377-2424
(704) 377-2687
Mailing address
PO BOX 30756, CHARLOTTE, NC 28230-0756
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0061369
MD
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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