Ashley D Wise, PAC

NPI #1912668799 in Stockbridge, Georgia

Provider Information

NPI Number
1912668799
Entity Type
Individual
Name
Ashley D Wise, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
Jan 4, 2022
Last Updated
Nov 17, 2022

Practice Location

Address
150 N PARK TRL STE B
State
Georgia
ZIP Code
30281-7372
Phone
(770) 507-0909

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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