Larry Andrew Wise, AU.D.

NPI #1538507488 in Fort Moore, Georgia

Provider Information

NPI Number: 1538507488
Entity Type: Individual
Name: Larry Andrew Wise, AU.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: AU.D.
Enumeration Date: Jun 12, 2013
Last Updated: Apr 11, 2024

Practice Location

Address: 6600 VAN AALST BLVD BLDG 9250
City: Fort Moore
State: Georgia
ZIP Code: 31905-2102
Phone: (762) 408-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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