Individual
MARTHA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WOODBINE AVE NW, ROME, GA 30165-2397
(706) 314-0019
Mailing address
1 WOODBINE AVE NW, ROME, GA 30165-2397
(706) 314-0019
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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