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Individual

ANDREW JAMES WICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
830 ROCKFORD STREET, MT AIRY, NC 27030-4220
(336) 719-7000
Mailing address
3432 KINNAMON ROAD, WINSTON-SALEM, NC 27104
(617) 997-7959

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2022-02214
NC
390200000X
Student in an Organized Health Care Education/Training Program
261357
NC

Other

Enumeration date
04/30/2020
Last updated
06/26/2023
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