Individual
EMILY KATHLEEN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6019
(843) 674-2051
Mailing address
PO BOX 100550, FLORENCE, SC 29502-0550
(843) 674-2051
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
672
SC
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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