Individual
DR. RUSSELL LOGAN WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
315 COMMERCIAL DR STE C5, SAVANNAH, GA 31406-3633
(912) 433-8788
Mailing address
144 JABEZ JONES RD, GUYTON, GA 31312-6023
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR011369
GA
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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