Susanne C Wise PA-C

NPI 1447449764 - Physician Assistant - 363AS0400X

NPI Details
NPI 1447449764
Gender Female
Enumeration Date 10/23/2007
Last Updated 08/31/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
89 W MILLS ST
SUITE A
COLUMBUS NC, 28722-9450, US
Phone (828) 894-3718
Fax (828) 894-3806
Business Location
PO BOX 602229
CHARLOTTE NC, 28260-2229, US
Phone (828) 894-3718
Fax (828) 894-3806
Toxanomy
Taxonomy Code 363AS0400X
License State North Carolina
License Number 0010-01093
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According to our database, Susanne C Wise PA-C NPI is 1447449764, taxonomy code is 363AS0400X and license number is 0010-01093, license state is located at North Carolina. Susanne C Wise PA-C physically located at 89 W Mills St, Columbus NC, 28722-9450. NPI Number Susanne C Wise PA-C has the Individual type.

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1447449764 NPI number is provided on an as is basis without warranty of any kind. 1447449764 is maintained by the National Plan & Provider Enumeration System. The contents of Susanne C Wise PA-C are for informational purposes only.