NPI | 1184314114 |
---|---|
Other Name | WISE IMAGE ENHANCEMENT SERVICES, LLC |
Entity Type | Organization |
Authorized Contact | THOMAS LOCKE Medical Director / Managing Member 404-308-8159 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
Enumeration Date | 2023-05-12 |
Last Update Date | 2023-05-12 |