Individual provider · Type 1 NPI

Savannah T. Wise

Student in an Organized Health Care Education/Training Program · Tifton, GA

NPI number 1528993482 Active

Practice location

901 18th St E
Tifton, GA 31794-3648

Call (229) 353-7530 Map

Mailing address

897 Salem Church Rd
Tifton, GA 31793-6320

Specialties and licenses

TaxonomyCodeLicense
Medical Technologist 246QM0706XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1528993482

Savannah T. Wise's National Provider Identifier is 1528993482, issued on Jun 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tifton, GA. The record was last updated on Jun 15, 2026.