Organization
WISE CHOICE IV INFUSION CENTER
Active
Organization
WISE CHOICE IV INFUSION CENTER
Active
Parent organization
WISE IMAGE ENHANCEMENT SERVICES, LLC
Other names
Wise Image Enhancement Services, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WISE IMAGE ENHANCEMENT SERVICES, LLC
Authorized official
DR. THOMAS LOCKE MD (MEDICAL DIRECTOR / MANAGING MEMBER)
(404) 308-8159
Entity
Organization
Contact information
Practice address
11785 NORTHFALL LN STE 505, ALPHARETTA, GA 30009-7961
(833) 294-7348
(770) 302-0643
Mailing address
11785 NORTHFALL LN STE 505, ALPHARETTA, GA 30009-7961
(833) 294-7348
(770) 302-0643
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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