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Individual

JOHNNY WESLEY WISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HIS

Contact information

Practice address
331 MILLS AVE, GREENVILLE, SC 29605-4021
(864) 232-3999
(864) 232-4744
Mailing address
331 MILLS AVE, GREENVILLE, SC 29605-4021
(864) 232-3999
(864) 232-4744

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
513
SC

Other

Enumeration date
01/29/2015
Last updated
01/29/2015
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