Individual
DR. RONALD V WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 446-1545
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 446-1545
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33166
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061284
—
SC
05
—
7985174
—
NC
01
—
85174
BCBS NC
NC
Enumeration date
07/29/2006
Last updated
12/21/2011
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