David L Wicker
Medical Specialty
Professional ID
- NPI: 1124205356
- PECOS ID: 0840315503
- Enrollment ID: I20100917000655
- Credential(MD, DO, DPM):
- Medical School: Medical College Of Georgia
- Medical School Graduation Year: 2005
Hospital Service
- Hospital CCN1: 110074
- Business Name (LBN)1: Athens Regional Medical Center
- Hospital CCN2: 110006
- Business Name (LBN)2: St Marys Hospital
- Hospital CCN3: 111329
- Business Name (LBN)3: St Marys Good Samaritan Hospital
- Hospital CCN4: 110027
- Business Name (LBN)4: St Marys Sacred Heart Hospital, Inc
- Hospital CCN5: 110046
- Business Name (LBN)5: Clearview Regional Medical Center
Medical Practices
- Organization Name: Athens Radiology Associates
- Group Practice ID assigned by PECOS: 2860486107
- Number of Group Practice member: 21
Location
- Address1: 1230 Baxter St
- Address2:
- City: Athens
- State: Georgia
- Zip Code: 30606
- Phone Number: (706)548-7581
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):