Wicker, Jordan Bennett

Wicker, Jordan Bennett is an individual health care provider with primary practice located at 555 E Cheves St , Florence SC 29506-2617. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wicker, Jordan Bennett can be contacted via phone (843) 777-2000.

Contact Information

Primary practice address
555 E Cheves St Florence SC 29506-2617
Phone: (843) 777-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1366979213
LBN Legal business name Wicker, Jordan Bennett
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2017
Last updated Aug 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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