STACI K WISE

ATLANTA, GA
NPI1902026800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: GA  004739)
Enumeration Date2007-04-26
Last Update Date2017-04-11
Business Address
-- STACI K WISE PA
1800 HOWELL MILL RD NW SUITE 450
ATLANTA, GA 30318-2538
Phone number: 404-355-4393
Mailing Address
-- STACI K WISE PA
1800 HOWELL MILL NWRD 450
ATLANTA, GA 30318-2508
Phone number: 404-355-4393
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