NPI | 1609804251 |
---|---|
Doing Business As | WISE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | BETHANY SANDERS Practice Administrator 276-679-5880 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
207X00000X Orthopaedic Surgery | |
Enumeration Date | 2006-06-30 |
Last Update Date | 2025-09-11 |