Robert Stephen Wade M.D.

NPI 1659329753 - Pediatrics - 208000000X

NPI Details
NPI 1659329753
Gender Male
Enumeration Date 05/04/2006
Last Updated 07/22/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1118 MORNINGSIDE DR
SUITE A
PERRY GA, 31069-4948, US
Phone (478) 988-2205
Fax (478) 988-2201
Business Location
233 N HOUSTON RD
SUITE 140-H
WARNER ROBINS GA, 31093-3074, US
Phone (478) 923-3360
Fax (478) 923-9977
Toxanomy
Taxonomy Code 208000000X
License State Georgia
License Number 031350
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According to our database, Robert Stephen Wade M.D. NPI is 1659329753, taxonomy code is 208000000X and license number is 031350, license state is located at Georgia. Robert Stephen Wade M.D. physically located at 1118 Morningside Dr, Perry GA, 31069-4948. NPI Number Robert Stephen Wade M.D. has the Individual type.

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1659329753 NPI number is provided on an as is basis without warranty of any kind. 1659329753 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Stephen Wade M.D. are for informational purposes only.