Individual
MR. JAMES L WICKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
4453 STATE ROUTE 159, CHILLICOTHE, OH 45601-8620
(740) 775-7722
(740) 775-7732
Mailing address
561 JAMESON ST, ASHVILLE, OH 43103-2511
(740) 775-7722
(740) 775-7732
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT. 001518
OH
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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