Individual
SHARON G. WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
154 WREN ST, BARNWELL, SC 29812-1527
(803) 259-3399
(803) 259-4477
Mailing address
154 WREN ST, BARNWELL, SC 29812-1527
(803) 259-3399
(803) 259-4477
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN725
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0393
—
SC
Enumeration date
11/21/2006
Last updated
07/23/2008
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