Provider Demographics
NPI:1881737211
Name:WISEHART, STEVEN GEOFFREY (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:GEOFFREY
Last Name:WISEHART
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Gender:M
Credentials:MD
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Mailing Address - Street 1:625 S ENOTA DR NE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-2437
Mailing Address - Country:US
Mailing Address - Phone:770-532-0292
Mailing Address - Fax:770-533-7377
Practice Address - Street 1:625 S ENOTA DR NE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-2437
Practice Address - Country:US
Practice Address - Phone:770-532-0292
Practice Address - Fax:770-533-7377
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA024740207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D32771Medicare UPIN