SearchTennessee1223G0001X

Constance Wise

NPI 1699044487 · on the registry since 2011 · sole proprietor

Practice

Address
4300 Dayton Blvd
Chattanooga, TN 37415
Phone
(423) 875-5302
Fax
(423) 875-0461

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee