Larry Andrew Wise, AUD is a
Audiologist based in Fort Moore, Georgia. Larry Andrew Wise is licensed to practice in Georgia (license number AUD003931) and his current practice location is
6600 Van Aalst Blvd Bldg 9250, Fort Moore, Georgia. He can be reached at his office (for appointments etc.) via phone at
(762) 408-3500.
NPI number for Larry Andrew Wise is 1538507488 and his current mailing address is 6600 Van Aalst Blvd Bldg 9250, Fort Moore, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538507488.
Healthcare Provider's Profile
Full Name | Larry Andrew Wise |
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Gender | Male |
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Speciality | Audiologist |
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Location | 6600 Van Aalst Blvd Bldg 9250, Fort Moore, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538507488
- Provider Enumeration Date: 06/12/2013
- Last Update Date: 04/11/2024
Medical Identifiers
Medical identifiers for Larry Andrew Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538507488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | AUD003931 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry Andrew Wise is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Larry Andrew Wise, AUD 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905-2102 Ph: (762) 408-3500 | Larry Andrew Wise, AUD 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905-2102 Ph: (762) 408-3500 |
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