DR. DEENA WISE, D.O.

Pediatrics

Active Individual
NPI: 1982683488

Practice Address

1514 VERNON RD
Lagrange, GA 30240

Phone: (770) 845-3132

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes 86763 (GA)
Hospitalist 208M00000X No OS15511 (FL)

Frequently Asked Questions

NPI 1982683488 is the National Provider Identifier for DR. DEENA WISE, D.O., a Pediatrics provider located in Lagrange, GA. This NPI was enumerated on January 12, 2006.
DR. DEENA WISE, D.O. practices at 1514 VERNON RD, Lagrange, GA 30240.

Quick Facts

NPI
1982683488
Type
Individual
Enumerated
Jan 12, 2006
Last Updated
Apr 17, 2025

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