Individual
DR. BARBARA V. WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
711 EXECUTIVE PL FL 4, FAYETTEVILLE, NC 28305-5193
(910) 615-3333
(910) 615-9765
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 615-6949
(910) 615-9761
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2006-01124
NC
2084P0800X
Psychiatry Physician
M1406
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280608501
—
TX
05
—
5907197
—
NC
01
—
8CV358
BCBS TX
TX
01
—
P00947336
RR MCR
TX
Enumeration date
07/25/2006
Last updated
04/08/2024
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