Gina D. Wise

Optician · Fayetteville, GA

Individual Active NPI

NPI number 1932416617

Practice location

101 Yorktown Dr
Suite 225
Fayetteville, GA 30214-1568
Phone
(770) 460-2331
Fax
(770) 460-2099

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NPI record

NPI
1932416617
Entity type
Individual (Type 1)
Enumeration date
September 2, 2010
Last updated
September 2, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optician Primary 156FX1800X LDO000890 GA

About Gina Wise

Gina D. Wise is a healthcare provider registered in the NPI registry with the primary taxonomy Optician (code 156FX1800X). The practice location is 101 Yorktown Dr, Suite 225, Fayetteville, GA 30214-1568. The NPI number 1932416617 was assigned on September 2, 2010 and the record was last updated on September 2, 2010.

Gina Wise lists a license in the registry: #LDO000890 (GA) for Optician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gina D. Wise?

The NPI number is 1932416617.

What is the phone number of Gina Wise?

The phone number listed for the practice location is (770) 460-2331.

Where is Gina Wise located?

101 Yorktown Dr, Suite 225, Fayetteville, GA 30214-1568.

What is the taxonomy code for Gina Wise?

The primary taxonomy code is 156FX1800X – Optician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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