# TARENCE WADE M D P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033381769
- **Authorized official:** DR. TARENCE EARL WADE 14435 (PRESIDENT)
- **Authorized official phone:** (901) 282-7815

## Contact information

- **Practice address:** 217 S WASHINGTON AVE, GREENVILLE, MS 38701-4234
- **Practice address phone:** (662) 820-4833
- **Practice address fax:** (662) 332-8976
- **Mailing address:** 217 S WASHINGTON AVE, P.O. BOX 5129, GREENVILLE, MS 38701-4234
- **Mailing address phone:** (662) 820-4833
- **Mailing address fax:** (662) 332-8976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 14435 | MS | Yes |

## Other

- **Enumeration date:** 04/02/2008
- **Last updated:** 04/02/2008