Wise, Staci K
Wise, Staci K is an individual health care provider with primary practice located at 1800 Howell Mill Rd Nw Suite 450, Atlanta GA 30318-2538. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Wise, Staci K can be contacted via phone (404) 355-4393.Contact Information
Primary practice address
1800 Howell Mill Rd Nw Suite 450
Atlanta GA 30318-2538
Phone: (404) 355-4393
Fax: (404) 419-9852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 004739 | Georgia |
Profile Details
| NPI number | 1902026800 |
|---|---|
| LBN Legal business name | Wise, Staci K |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Apr 11th, 2017 - about 8 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.
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