Jordan Bennett Wicker, PA

NPI #1366979213 in Florence, South Carolina

Provider Information

NPI Number: 1366979213
Entity Type: Individual
Name: Jordan Bennett Wicker, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 22, 2017
Last Updated: Aug 2, 2024

Practice Location

Address: 555 E CHEVES ST
City: Florence
State: South Carolina
ZIP Code: 29506-2617
Phone: (843) 777-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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