Individual
DR. JON ALAN WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
91 SAMMY MCGHEE BLVD, SUITE 103, JASPER, GA 30143-7703
(706) 253-9355
(706) 253-9352
Mailing address
91 SAMMY MCGHEE BLVD, SUITE 103, JASPER, GA 30143-7703
(706) 253-9355
(706) 253-9352
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6562
GA
Other
Enumeration date
01/08/2007
Last updated
11/06/2007
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