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Individual

DR. JAMES RANDALL WICKHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
136 W ELIZABETH ST STE 102, HARRISONBURG, VA 22802-3855
(540) 564-5100
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4692
(615) 373-7600

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101046422
VA

Other

Enumeration date
04/17/2006
Last updated
08/23/2024
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