Organization Active NPI

Wise Choice Therapeutic Solutions Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Statesboro, GA
National Provider Identifier
1861778359
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WISE CHOICE THERAPEUTIC SOLUTIONS INCORPORATED
Practice address
9 N Zetterower Ave # 9B
Statesboro, GA 30458-1049
Phone
(912) 436-3397
Fax
(912) 436-3398
NPI assigned
Oct 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shanekqua I Hudson
Title
Authorized Offical
Phone
(912) 436-3397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

9 N Zetterower Ave # 9B
Statesboro, GA 30458-1049

Mailing address

9 N Zetterower Ave # 9B
Statesboro, GA 30458-1049
Phone (912) 436-3397

National Provider Directory

National Provider Directory

Locations

9 N Zetterower Ave
#9B
Statesboro, GA 30458
Phone (912) 436-3397

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1861778359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N ZETTEROWER AVE # 9B",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581049",
            "telephone_number": "912-436-3397",
            "fax_number": "912-436-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N ZETTEROWER AVE # 9B",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581049",
            "telephone_number": "912-436-3397",
            "fax_number": "912-436-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE CHOICE THERAPEUTIC SOLUTIONS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "SHANEKQUA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "912-436-3397"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.