# WBD

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

## Provider details

- **NPI number:** 1528167608
- **Authorized official:** FRANK C WADE JR. M.D. (PRESIDENT)
- **Authorized official phone:** (601) 849-7240

## Contact information

- **Practice address:** 376A SIMPSON HIGHWAY 149, MAGEE, MS 39111-3409
- **Practice address phone:** (601) 849-7240
- **Practice address fax:** (601) 849-7244
- **Mailing address:** 360 SIMPSON HIGHWAY 149 STE 370, MAGEE, MS 39111-3843
- **Mailing address phone:** (601) 849-7240
- **Mailing address fax:** (601) 849-7244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10798 | MS | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 03/26/2018