Individual
MELISSA WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
890 W FARIS RD STE 470, GREENVILLE, SC 29605-4281
(864) 455-1600
(864) 455-3095
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8615
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
86249
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
03/25/2017
Last updated
08/04/2021
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