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John Wise
NPI 1346543345 · on the registry since 2010 · sole proprietor
Practice
- Address
- 600 E Northside Dr
Suite D
Clinton, MS 39056 - Phone
- (601) 925-9473
- Fax
- (601) 925-9490
- Organisation at this address
- John D Wise Iii
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi