Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GINA D WISE
ActiveGINA D WISE is a Optician, Dispensing healthcare provider located in FAYETTEVILLE, Georgia. NPI 1932416617 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1932416617
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 2, 2010 (15.926372743115 yrs)
- Last Updated
- Sep 2, 2010
- License
-
LDO000890 (GA)
Practice Information
- Address
-
101 YORKTOWN DRSUITE 225FAYETTEVILLE, GA, 302141568Browse GA providers · Browse ZIP 30214
- Phone
- 7704602331
- Fax
- 7704602099
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| PATRICK K ALFRED | ABOC | 1093086159 |
| CRYSTAL WADE | LDO | 1326483405 |
| MS. DALE A KLAUSS | LDO | 1477185205 |
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.