Individual
AMELIA WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(207) 577-2581
Mailing address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.151002
OH
208D00000X
General Practice Physician
MD494287
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2021
Last updated
03/15/2026
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