Individual
MR. DENNIS RAY WADE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2319 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2042
(803) 536-1571
Mailing address
2319 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2042
(803) 536-1571
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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