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Contact Information

NEVILLE R WICHMAN, MD
2500 NORTH STATE ST.
JACKSON, MS39216
 Phone: 601-984-2538
 Fax: 601-815-1854
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for NEVILLE R WICHMAN · (Male)

NPI # 1437121134
Status Active
Credentials MD
Entity Individual
Enumeration date 02/06/2006
Last updated 11/06/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 00021845
  • FL License # ME88885
  • MS License # 13966
  • MS Medicaid 25025853
  • Other CD5130 GROUP #
  • Other DG7781 RAILROAD - GROUP
  • Other P00462360 RAILROAD MEDICARE
  • Other P00621714 RAILROAD MEDICARE
  • MS Other 512G700003 MS MEDICARE - GROUP
Hospital affiliation(s)
  • ANDERSON REGIONAL MEDICAL CENTER - (Acute Care)
    2124 14 ST
    MERIDIAN, MS 39301
  • CHOCTAW GENERAL HOSPITAL - (Critical Access)
    401 VANITY FAIR LANE, PO BOX 618
    BUTLER, AL 36904
  • LAIRD HOSPITAL INC - (Critical Access)
    25117 HIGHWAY 15
    UNION, MS 39365
  • RUSH FOUNDATION HOSPITAL - (Acute Care)
    1314 19TH AVE
    MERIDIAN, MS 39301
  • SCOTT REGIONAL HOSPITAL CAH - (Critical Access)
    317 HIGHWAY 13 SOUTH
    MORTON, MS 39117
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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