Individual
MRS. JOANNA BETH WISOTSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
600 NEW WAVERLY PL STE 203, CARY, NC 27518-7404
(919) 410-7083
Mailing address
600 NEW WAVERLY PL STE 203, CARY, NC 27518-7404
(919) 410-7083
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NC
363AM0700X
Medical Physician Assistant
001000939
NC
Other
Enumeration date
11/08/2007
Last updated
06/10/2025
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