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Individual

LARRY ANDREW WISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905-2102
(762) 408-3500
Mailing address
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905-2102
(762) 408-3500

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003931
GA

Other

Enumeration date
06/12/2013
Last updated
04/11/2024
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