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Individual

MR. WADE THOMAS SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
273 ANDERSON ESTATES RD, LEWISBURG, WV 24901-5573
(863) 840-6499
Mailing address
273 ANDERSON ESTATES RD, LEWISBURG, WV 24901-5573
(863) 840-6499

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
117852
WV
363LF0000X
Family Nurse Practitioner
APRN9350693
FL

Other

Enumeration date
11/01/2017
Last updated
10/02/2025
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