Male or Other

Marshall S. Wise D.O.

Family Medicine Physician in Greenville, SC(View on Map)

Full Name

Marshall Scott Wise D.O.

NPI Number

1033406236

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/08/2011

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

South Carolina

License Number

1517

Contact
Information

Purpose

Mailing
Location

Address

701 GROVE RD
701 GROVE RD

City

Greenville
Greenville

State

SC
SC

Postal Code

29605-5611
29605-5611

Country

US
US

Telephone Number

(864) 455-9022
(864) 455-9022

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2011

Provider Address

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