Individual provider · Type 1 NPI

Thomas Wade, MD

Specialist · Atlanta, GA

NPI number 1336219062 Active

Practice location

1800 Phoenix Blvd, Suite 210
Atlanta, GA 30349-5593

Fax (770) 994-1264

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X83621S (GA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1336219062

Thomas Wade, MD's National Provider Identifier is 1336219062, issued on Nov 9, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.