person
Gina D Wise
Optician in Fayetteville, Georgia
NPI 1932416617

Gina D Wise is a Optician based in Fayetteville, GA and is specialized in Optician. Gina D Wise practices in Fayetteville, GA. The NPI Number for Gina D Wise is 1932416617 and holds a License No. LDO000890 (Georgia).

The current practice location address for Gina D Wise is 101 Yorktown Dr, Fayetteville, GA and can be reached out via phone at 770-460-2331 and via fax at 770-460-2099. You can also correspond with Gina D Wise through the mailing address at 101 YORKTOWN DR, FAYETTEVILLE, GA - 30214-1568 (mailing address contact number: 770-460-2331).

Location: 101 Yorktown Dr, Fayetteville, GA, 30214-1568
person
Provider Profile Details
NPI Number
1932416617
Provider Name
Gina D Wise
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 Yorktown Dr, Fayetteville, GA, 30214-1568
Phone Number
770-460-2331
Fax Number
770-460-2099
Provider Enumeration Date
09/02/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 Yorktown Dr
City
State
Zip
30214-1568
Phone Number
770-460-2331
Fax Number
770-460-2099
person
Provider Business Mailing Address Details
Address
101 Yorktown Dr
City
State
Zip
30214-1568
Phone Number
770-460-2331
Fax Number
770-460-2099
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
LDO000890 (Georgia)
Definition
Definition to come...
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