Wise, Carlos Rodriguez

Wise, Carlos Rodriguez is an individual health care provider with primary practice located at 1800 10Th Ave , Columbus GA 31901-1513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wise, Carlos Rodriguez can be contacted via phone (706) 571-1120.

Contact Information

Primary practice address
1800 10Th Ave Columbus GA 31901-1513
Phone: (706) 571-1120
Fax: (706) 660-1603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 046925 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00026131 Alabama

Profile Details

NPI number 1497754592
LBN Legal business name Wise, Carlos Rodriguez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 24th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497754592 NPPES
Georgia MEDICAID 481686160B
Georgia MEDICAID 481686160E
Georgia MEDICAID 009964375
Georgia Other 876520

Popular Providers