Jack D Wise is a Chiropractor in Williamston, South Carolina. Jack D Wise practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jack D Wise is 1255402905. The last update date is 2007-11-20.
Jack D Wise's current location address is 24 East Main St, Williamston, South Carolina. You can contact this provider via phone number 8648476020 and fax number 8648476007. The mailing address for Jack D Wise is 24 East Main St, Williamston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack D Wise |
|---|---|
| Address | 24 East Main St, Williamston, South Carolina |
| Phone Number | 8648476020 |
| Fax Number | 8648476007 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1255402905 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-11-20 |
Provider Mailing Address Detail
| Address | 24 East Main St |
|---|---|
| City | Williamston |
| State | South Carolina (SC) |
| Post Code | 29697 |
| Phone Number | 8648476020 |
| Fax Number | 8648476007 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1743 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CH1743 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jack D Wise by the Centers for Medicare & Medicaid Services (CMS)?
The Jack D Wise has been assigned the NPI (National Provider Identifier) 1255402905. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Jack D Wise is physically located?
The Jack D Wise is physically situated at the following address: 24 East Main St, Williamston, SC, 29697.
What is Jack D Wise's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack D Wise's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255402905 to Jack D Wise?
The Centers for Medicare & Medicaid Services originally issued the 1255402905 to Jack D Wise on 2006-11-13.
As of what date were the details pertaining to Jack D Wise last refreshed?
The information related to the Jack D Wise, including its address, specialty, and other relevant details, was last updated on 2007-11-20.