Organization
HEALTHWISE FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON G WISE APRN (OWNER)
(803) 259-3399
Entity
Organization
Contact information
Practice address
154 WREN ST, BARNWELL, SC 29812-1527
(803) 259-3399
(803) 259-4477
Mailing address
154 WREN ST, BARNWELL, SC 29812-1527
(803) 259-3399
(803) 259-4477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4655
—
SC
Enumeration date
03/08/2007
Last updated
07/23/2008
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