Individual
ALLISON WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 OLD LEXINGTON RD, THOMASVILLE, NC 27360
(336) 472-2000
Mailing address
2837 JOSH CT, THOMASVILLE, NC 27360-8381
(803) 348-0475
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
102060
SC
163WS0200X
School Registered Nurse
302864
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
121611
NC
Other
Enumeration date
03/18/2018
Last updated
06/01/2018
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