Organization
WISE OMFS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA JACKSON (RCM MANAGER)
(205) 919-1750
Entity
Organization
Contact information
Practice address
2074 VALLEYDALE RD, HOOVER, AL 35244-2084
(205) 982-7105
Mailing address
2074 VALLEYDALE RD, HOOVER, AL 35244-2084
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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