Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEENA RENAE WISE, D.O.
ActiveDR. DEENA RENAE WISE, D.O. is a Pediatrics healthcare provider located in LAGRANGE, Georgia. NPI 1982683488 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · LAGRANGE, GA
Registration Details
- NPI Number
- 1982683488
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2006 (20.557488408957 yrs)
- Last Updated
- Apr 17, 2025
- Licenses
-
2002008852 (MO)OS15511 (FL)3820 (OK)05305 (KY)2020-03433 (NC)
Practice Information
- Address
-
1514 VERNON RDLAGRANGE, GA, 302404131Browse GA providers · Browse ZIP 30240
- Phone
- 7708453132
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in LAGRANGE, GA
| Name | Credential | NPI |
|---|---|---|
| KALYANI RAJEEV | MD | 1083613525 |
| LISA PHARIS ALLARDICE | MD | 1609800705 |
| GEORGE JOHN LECHACZ | M.D. | 1255443297 |
| KARYN LIVINGSTON HUNNICUTT | M.D. | 1346352390 |
| JOSEPH MORRIS ALMAND JR. | M.D. | 1164534285 |
| LILIYA SLUTSKER | M.D. | 1841302809 |
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.