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Organization
TARENCE WADE M D P C
Active
Organization
TARENCE WADE M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARENCE EARL WADE 14435 (PRESIDENT)
(901) 282-7815
Entity
Organization
Contact information
Practice address
217 S WASHINGTON AVE, GREENVILLE, MS 38701-4234
(662) 820-4833
(662) 332-8976
Mailing address
217 S WASHINGTON AVE, P.O. BOX 5129, GREENVILLE, MS 38701-4234
(662) 820-4833
(662) 332-8976
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
14435
MS
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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