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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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