Individual
VIRGINIA K WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1725 PINE ST, MONTGOMERY, AL 36106-1117
(334) 293-8700
Mailing address
1758 PARK PL STE 300, MONTGOMERY, AL 36106-1137
(334) 293-8922
(334) 293-6820
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
201844
CO
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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