Melanie Wise, BS

NPI #1154572964 in Paragould, Arkansas

Provider Information

NPI Number: 1154572964
Entity Type: Individual
Name: Melanie Wise, BS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: BS
Enumeration Date: Oct 10, 2008
Last Updated: Oct 10, 2008

Practice Location

Address: 1910 RECTOR RD
City: Paragould
State: Arkansas
ZIP Code: 72450-2004
Phone: (870) 240-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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