Individual
MR. JAMES REGINALD WYCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
814 RADFORD BLVD, SUITE 20328, ALBANY, GA 31704-1130
(229) 639-7764
Mailing address
814 RADFORD BLVD, PSC 20012, ALBANY, GA 31704-1130
(229) 369-7764
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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