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A Michelle Wise, FNP
Family Nurse Practitioner in Rock Hill, South Carolina
NPI 1164663449

A Michelle Wise is a Family Nurse Practitioner based in Rock Hill, SC and is specialized in Family. A Michelle Wise practices in Rock Hill, SC and has the professional credentials of FNP. The NPI Number for A Michelle Wise is 1164663449 and holds a License No. 2787 (South Carolina).

The current practice location address for A Michelle Wise is 739 Galleria Blvd Ste 112, Rock Hill, SC and can be reached out via phone at 803-547-4343.

Location: 739 Galleria Blvd Ste 112, Rock Hill, SC, 29730-0155
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164663449
Provider Name
A Michelle Wise
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
739 Galleria Blvd Ste 112, Rock Hill, SC, 29730-0155
Phone Number
803-547-4343
Fax Number
Provider Enumeration Date
03/16/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SCC1783365 01 SC MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
739 Galleria Blvd Ste 112
City
Rock Hill
State
South Carolina
Zip
29730-5785
Phone Number
803-547-4343
Fax Number
person
Provider Business Mailing Address Details
Address
739 Galleria Blvd Ste 112
City
Rock Hill
State
South Carolina
Zip
29730-5785
Phone Number
803-547-4343
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2787 (South Carolina)
Definition
Definition to come...
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