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1790759579
TERRENCE WISE
FAYETTEVILLE, GA
NPI
1790759579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 056246)
Enumeration Date
2006-02-16
Last Update Date
2020-03-06
Business Address
Dr. TERRENCE WISE MD
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4526
Phone number: 770-719-5630
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Mailing Address
Dr. TERRENCE WISE MD
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4526
Phone number: 770-719-5630
Copy
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