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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK D WISE JR., DC

Active

DR. JACK D WISE JR., DC is a Chiropractor healthcare provider located in WILLIAMSTON, South Carolina. NPI 1255402905 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · WILLIAMSTON, SC

Registration Details

NPI Number
1255402905
Provider Type
Individual
Gender
Male
NPI Issued
Nov 13, 2006 (19.567561247437 yrs)
Last Updated
Nov 20, 2007
License
1743 (SC)

Practice Information

Address
24 EAST MAIN STREET
WILLIAMSTON, SC, 29697
Browse SC providers · Browse ZIP 29697
Phone
8648476020
Fax
8648476007
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Providers in WILLIAMSTON, SC

Name Credential NPI
DR. ROBERT M. DURHAM DC 1609850924
MRS. MARYLOUISE SCHULTZ WISE DC 1578634218
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.