Tarence E Wade MD

NPI 1043246259 - Emergency Medicine - 207P00000X

NPI Details
NPI 1043246259
Gender Male
Enumeration Date 06/23/2006
Last Updated 06/15/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
GRENADA MS, 38901-5230, US
Phone (662) 227-7172
Business Location
14050 NW 14TH ST
SUNRISE FL, 33323-2865, US
Phone (800) 424-3672
Fax (954) 377-3042
Taxonomy Code 207P00000X
License State Mississippi
License Number 11435
Remove 1043246259 NPI Number

According to our database, Dr. Tarence E Wade MD NPI is 1043246259, taxonomy code is 207P00000X and license number is 11435, license state is located at Mississippi. Tarence E Wade MD physically located at 960 Avent Dr, Grenada MS, 38901-5230. NPI Number Tarence E Wade MD has the Individual type.

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1043246259 NPI number is provided on an as is basis without warranty of any kind. 1043246259 is maintained by the National Plan & Provider Enumeration System. The contents of Tarence E Wade MD are for informational purposes only.