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1760929616
MELISA GREEN WIESE
GREENVILLE, SC
NPI
1760929616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 20615)
Enumeration Date
2017-01-30
Last Update Date
2021-06-01
Business Address
MELISA GREEN WIESE APRN, NP-C
905 VERDAE BLVD STE 202
GREENVILLE, SC 29607-4098
Phone number: 864-676-1072
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Mailing Address
MELISA GREEN WIESE APRN, NP-C
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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