Jean, Wisna
Jean, Wisna is an sole proprietor health care provider with primary practice located at 1700 Hospital South Dr Ste 402 , Austell GA 30106-8116. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Jean, Wisna can be contacted via phone (770) 739-8282.Contact Information
Primary practice address
1700 Hospital South Dr Ste 402
Austell GA 30106-8116
Phone: (770) 739-8282
Fax: (770) 739-0794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | D83759 | Maryland |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MT201952 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 92010 | Georgia |
Profile Details
| NPI number | 1780947424 |
|---|---|
| LBN Legal business name | Jean, Wisna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2012 |
| Last updated | Nov 14th, 2022 - about 4 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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