Staci K. Wise, PA
Endocrinology · Atlanta, GA
UnclaimedPANPI 1902026800
- Primary taxonomy
- 207RE0101X
- Enumerated
- 2007-04-26
- Practice location
- Atlanta, GA
- Last NPPES update
- 2017-04-11
State licenses
- GA · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.