Individual
RACHEL LOUISE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MCCLENNAN BANKS DR, CHARLESTON, SC 29401-1164
(317) 503-7565
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
(317) 503-7565
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
94183
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
04/06/2026
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