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Dr. Robert Harold Wise JR., MD
Diagnostic Radiology Physician in Valdosta, Georgia
NPI 1164403051

Robert Harold Wise JR. is a Diagnostic Radiology Physician based in Valdosta, GA and is specialized in Diagnostic Radiology. Robert Harold Wise JR. practices in Valdosta, GA and has the professional credentials of MD. The NPI Number for Robert Harold Wise JR. is 1164403051 and holds a License No. 026687 (Georgia).

The current practice location address for Robert Harold Wise JR. is 2704 N Oak St, Valdosta, GA and can be reached out via phone at 229-333-9729 and via fax at 229-333-0832.

Location: 2704 N Oak St, Valdosta, GA, 31604-3670
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164403051
Provider Name
Robert Harold Wise JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2704 N Oak St, Valdosta, GA, 31604-3670
Phone Number
229-333-9729
Fax Number
229-333-0832
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000322022A 05 GA
institution
Provider Business Practice Location Address Details
Address
2704 N Oak St
City
Valdosta
State
Georgia
Zip
31602-1744
Phone Number
229-333-9729
Fax Number
229-333-0832
person
Provider Business Mailing Address Details
Address
2704 N Oak St
City
Valdosta
State
Georgia
Zip
31602-1744
Phone Number
229-333-9729
Fax Number
229-333-0832
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
026687 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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