Individual
CHARLOTTE MARIE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 SOUTHFORK VILLAGE DR APT 101, BELMONT, NC 28012-7823
(704) 674-5055
Mailing address
1000 SOUTHFORK VILLAGE DR APT 101, BELMONT, NC 28012-7823
(704) 674-5055
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
34904
NC
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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