Wise, Larry Andrew

Wise, Larry Andrew is an individual health care provider with primary practice located at 6600 Van Aalst Blvd Bldg 9250 , Fort Moore GA 31905-2102. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Wise, Larry Andrew can be contacted via phone (762) 408-3500.

Contact Information

Primary practice address
6600 Van Aalst Blvd Bldg 9250 Fort Moore GA 31905-2102
Phone: (762) 408-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD003931 Georgia

Profile Details

NPI number 1538507488
LBN Legal business name Wise, Larry Andrew
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2013
Last updated Apr 11th, 2024 - about 2 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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