Individual
SONIA THOMAS WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 E CHEVES ST STE 480, FLORENCE, SC 29506-2653
(843) 432-1880
(843) 432-1022
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7092
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1133240
SC
Other
Enumeration date
09/08/2016
Last updated
02/01/2021
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