Gina D Wise
Gina D Wise is an Optician in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2010.
- Licensed in
- GA
- In the registry since
- 2010
Practice location Address checks out
101 Yorktown Dr Ste 225Fayetteville, GA 30214-1568
Phone: (770) 460-2331
Fax: (770) 460-2099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence LDO000890 (GA) |
|---|
Record details
| NPI number | 1932416617 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 2, 2010 |
| Last updated in NPPES | September 2, 2010 |
| Mailing address | 101 Yorktown Dr, Suite 225, Fayetteville, GA 30214-1568 |
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