Provider Demographics
NPI:1962839118
Name:HEALTHWISE MEDICAL CARE P.C.
Entity Type:Organization
Organization Name:HEALTHWISE MEDICAL CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P.
Authorized Official - Prefix:
Authorized Official - First Name:KRISH
Authorized Official - Middle Name:
Authorized Official - Last Name:PURSWANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-345-4282
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:SURGOINSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37873-0429
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:348 BYINGTON RD
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37857-6128
Practice Address - Country:US
Practice Address - Phone:423-345-4282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty