Louise Wise (NPI# 1851782965, PAC ID# 3577866086) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1851782965 |
| PAC ID by PECOS | 3577866086 |
| Professional Enrollment ID | I20160115001840 |
| Full Name | Louise Wise |
| Organization Legal Name | MOBOLAJI SHALOM OYEBANJO, INC |
| Address |
5604 Wendy Bagwell Pkwy Suite 611 Hiram GA 30141-7815 |
| Phone Number | 7704393070 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204914401 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 5604 Wendy Bagwell Pkwy, Suite 611, Hiram, GA 30141-7815 | 7704393070 | MOBOLAJI SHALOM OYEBANJO, INC |
| 307 Old Stone Rd, Villa Rica, GA 30180-1214 | 7704598799 | MOBOLAJI SHALOM OYEBANJO, INC |
| Organization Legal Name | MOBOLAJI SHALOM OYEBANJO, INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Omobolaji O Oyebanjo Popoola | Psychiatry | Mobolaji Shalom Oyebanjo, Inc | 5604 Wendy Bagwell Pkwy, Suite 611, Hiram, GA 30141-7815 |
| Street Address |
5604 WENDY BAGWELL PKWY SUITE 611 |
| City | HIRAM |
| State | GA |
| Zip | 30141-7815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen K Arnold Jr. | Chiropractic | 5604 Wendy Bagwell Pkwy, Suite 211, Hiram, GA 30141-7814 | |
| Amanda M Conner | Physician Assistant | Center for Allergy and Asthma of Georgia PC | 5604 Wendy Bagwell Pkwy, Hiram, GA 30141-7819 |
| Carlos Julio Moreno | Physician Assistant | Center for Allergy and Asthma of Georgia PC | 5604 Wendy Bagwell Pkwy, Hiram, GA 30141-7819 |
| William Todd Boleman | Allergy/immunology | Center for Allergy and Asthma of Georgia PC | 5604 Wendy Bagwell Pkwy, Hiram, GA 30141-7819 |
| Eugene S Hurwitz | Allergy/immunology | Center for Allergy and Asthma of Georgia PC | 5604 Wendy Bagwell Pkwy, Hiram, GA 30141-7819 |
| Omobolaji O Oyebanjo Popoola | Psychiatry | Mobolaji Shalom Oyebanjo, Inc | 5604 Wendy Bagwell Pkwy, Suite 611, Hiram, GA 30141-7815 |
| Allen K Arnold Iii | Chiropractic | 5604 Wendy Bagwell Pkwy, Suite 211, Hiram, GA 30141-7814 | |
| Neha P Kharod | Internal Medicine | Center for Allergy and Asthma of Georgia PC | 5604 Wendy Bagwell Pkwy, Hiram, GA 30141-7819 |
| Gichell Watson | Physician Assistant | Center for Allergy and Asthma of Georgia PC | 5604 Wendy Bagwell Pkwy, Bldg 900 Unit 913, Hiram, GA 30141-7819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Lavengood Boucher | Chiropractic | 5447 Powder Springs Dallas Swrd, Hiram, GA 30141 | |
| Aubree L Tant | Nurse Practitioner | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Christina Adams | Family Medicine | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Carl Goolsby | Family Medicine | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Laura C Huenink | Nurse Practitioner | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Jeffrey Lanier Tharp | Internal Medicine | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Ramona Payton | Nurse Practitioner | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Roderick H Rhyant | Family Medicine | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Susan E Ashworth | Nurse Practitioner | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| David A Gose | Internal Medicine | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Find all physicians in zip 30141 | |||
| City | HIRAM |
| Zip Code | 30141 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HIRAM + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.