MARK WISE

COLUMBUS, GA
NPI1477645471
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: GA  PSY000818)
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
Dr. MARK WISE Psy.D.
3000 SCHATULGA RD BLDG 5
COLUMBUS, GA 31907-3117
Phone number: 706-568-5216
Mailing Address
Dr. MARK WISE Psy.D.
4989 POST ROAD PASS
STONE MOUNTAIN, GA 30088-2007
Phone number: 770-469-6754