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1902026800
STACI K WISE
ATLANTA, GA
NPI
1902026800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: GA 004739)
Enumeration Date
2007-04-26
Last Update Date
2017-04-11
Business Address
-- STACI K WISE PA
1800 HOWELL MILL RD NW SUITE 450
ATLANTA, GA 30318-2538
Phone number: 404-355-4393
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Mailing Address
-- STACI K WISE PA
1800 HOWELL MILL NWRD 450
ATLANTA, GA 30318-2508
Phone number: 404-355-4393
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