Wise, Mark

Wise, Mark is an sole proprietor health care provider with primary practice located at 3000 Schatulga Rd Bldg 5 , Columbus GA 31907-3117. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wise, Mark can be contacted via phone (706) 568-5216.

Contact Information

Primary practice address
3000 Schatulga Rd Bldg 5 Columbus GA 31907-3117
Phone: (706) 568-5216
Fax: (706) 562-1484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY000818 Georgia

Profile Details

NPI number 1477645471
LBN Legal business name Wise, Mark
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 17 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

Popular Providers