Individual
SUSANNE COCHRAN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1650 SKYLYN DR STE 120, SPARTANBURG, SC 29307-1069
(864) 216-4525
(864) 216-4514
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01093
NC
363A00000X
Physician Assistant
4849
SC
Other
Enumeration date
10/23/2007
Last updated
07/29/2026
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