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Individual
SEABORN MCDONALD WADE III
Active
Individual
SEABORN MCDONALD WADE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101234527
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265566772
—
VA
01
—
300980
ANTHEM BCBS
VA
01
—
C01120
MEDICARE GROUP PTAN
VA
01
—
P00431656
RR MEDICARE
VA
Enumeration date
03/15/2007
Last updated
05/24/2021
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