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Contact Information

P L WISEMAN, CNS
200 CRESCENT CENTRE PARK
DEPARTMENT OF BEHAVIORAL HEALTH
TUCKER, GA30084
 Phone: 770-496-3609
 Fax: 770-496-3708
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

364SP0808X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for P L WISEMAN · (Female)

NPI # 1336241371
Status Active
Credentials CNS
Entity Individual
Enumeration date 09/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN126821
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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