IndividualActive
Jaime Wicks, MD
NPI 1164801346 · Neuroradiology Physician · Atlanta, GA
Provider details
- NPI number
- 1164801346
- Entity type
- Individual
- Primary specialty
- Neuroradiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 88295 (GA)
Practice location
1364 Clifton Rd Ne Ste Bg20
Atlanta, GA 30322-1001
Phone: (404) 712-4596
Mailing address
1320 S University Dr Ste 500
Fort Worth, TX 76107-5732
Registry dates
- Enumerated
- 2015-05-21
- Last updated
- 2026-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.