Individual provider · Type 1 NPI

Susanne Cochran Wise, PA

Physician Assistant · Spartanburg, SC

NPI number 1447449764 Active

Practice location

1650 Skylyn Dr Ste 120
Spartanburg, SC 29307-1069

Fax (864) 216-4514

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X4849 (SC)
Physician Assistant Primary 363A00000X0010-01093 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1447449764

Susanne Cochran Wise, PA's National Provider Identifier is 1447449764, issued on Oct 23, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Spartanburg, SC. The record was last updated on Jul 29, 2026.