Individual
DR. AMY LYNNE WISDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
11945 GRANDHAVEN DR, SUITE G, MURRELLS INLET, SC 29576-8091
(843) 357-3762
(843) 357-3772
Mailing address
11945 GRANDHAVEN DR, SUITE G, MURRELLS INLET, SC 29576-8091
(843) 357-3762
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
593
SC
Other
Enumeration date
01/15/2009
Last updated
01/12/2012
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