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Individual
KRISTIN R WISE
Active
Individual
KRISTIN R WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
054366
GA
208M00000X
Hospitalist Physician
Primary
34350
SC
Other
Enumeration date
07/24/2006
Last updated
10/14/2020
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