Individual
MELANIE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 240-8500
Mailing address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 240-8500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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