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)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