Individual provider · Type 1 NPI

James Benjamin Stallworth Wise, MD

Student in an Organized Health Care Education/Training Program · Greensboro, NC

NPI number 1861245169 Active

Practice location

Cone Health Behavioral Health Hospital, 700 Walter Reed Drive
Greensboro, NC 27403

Mailing address

Cone Health Behavioral Health, 931 Third Street - 2nd Floor Residency
Greensboro, NC 27405

Specialties and licenses

TaxonomyCodeLicense
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 1861245169

James Benjamin Stallworth Wise, MD's National Provider Identifier is 1861245169, issued on Apr 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Greensboro, NC. The record was last updated on Apr 8, 2024.