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1104419472
ELIZABETH ANN MARIE WISE
WADE, NC
NPI
1104419472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 001011052)
Enumeration Date
2021-02-17
Last Update Date
2024-05-17
Business Address
ELIZABETH ANN MARIE WISE PA-C
7118 MAIN ST
WADE, NC 28395-9749
Phone number: 910-483-6694
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Mailing Address
ELIZABETH ANN MARIE WISE PA-C
9225 MAIN ST
GODWIN, NC 28344-8361
Phone number: 910-723-1072
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