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Contact Information

JEREMY A WISE, MD
103 MEDICAL PARK FL 2
HATTIESBURG, MS39401-9042
 Phone: 601-268-5630
 Fax: 601-579-3285
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JEREMY A WISE · (Male)

NPI # 1912565763
Status Active
Credentials MD
Entity Individual
Enumeration date 06/05/2019
Last updated 08/18/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • FL License # 166939
  • MS License # 35263
  • SC License # LL82680
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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