Individual provider · Type 1 NPI

Coretta Wade

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

NPI number 1215456470 Active

Practice location

270 Carpenter Dr Ste 400
Sandy Springs, GA 30328-4933

Call (678) 851-5638 Map

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone 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 1215456470

Coretta Wade's National Provider Identifier is 1215456470, issued on Sep 19, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sandy Springs, GA. The record was last updated on Jun 16, 2018.