Individual
ROBERT C WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1705 EAST THIRD STREET, FARMVILLE, VA 23901-1199
(434) 315-2998
(434) 315-2859
Mailing address
2010 ATHERHOLT RD, LYNCHBURG, VA 24501-1106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102050072
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10038282
OPTIMA/SENTARA
VA
01
—
2187324
UHC/MAMSI
VA
01
—
35317
ANTHEM
VA
01
—
61459603
BLACK LUNG/FECA
VA
01
—
7393046
AETNA
VA
Enumeration date
01/06/2006
Last updated
09/18/2014
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