Individual
CANDACE JILL WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
351 VALLEY HEALTH WAY # 300, FRONT ROYAL, VA 22630-6480
(540) 631-3700
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4525
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102204074
VA
Other
Enumeration date
06/12/2013
Last updated
05/01/2023
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