Wise, Gina D

Wise, Gina D is an individual health care provider with primary practice located at 101 Yorktown Dr Suite 225, Fayetteville GA 30214-1568. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Wise, Gina D can be contacted via phone (770) 460-2331.

Contact Information

Primary practice address
101 Yorktown Dr Suite 225 Fayetteville GA 30214-1568
Phone: (770) 460-2331
Fax: (770) 460-2099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X LDO000890 Georgia

Profile Details

NPI number 1932416617
LBN Legal business name Wise, Gina D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2010
Last updated Sep 2nd, 2010 - about 16 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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