Individual
DR. JAMES BENJAMIN STALLWORTH WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CONE HEALTH BEHAVIORAL HEALTH HOSPITAL, 700 WALTER REED DRIVE, GREENSBORO, NC 27403
(336) 832-9600
Mailing address
CONE HEALTH BEHAVIORAL HEALTH, 931 THIRD STREET - 2ND FLOOR RESIDENCY, GREENSBORO, NC 27405
(336) 832-9626
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20727305
NC DRIVER'S LICENSE
NC
Enumeration date
04/08/2024
Last updated
04/08/2024
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