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Individual

DR. DAVID EDWARD WADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC, MD

Contact information

Practice address
114 HAMRIC DR E STE 5, OXFORD, AL 36203-2434
(256) 237-9423
(256) 237-6007
Mailing address
PO BOX 1794, ANNISTON, AL 36202-1794
(256) 237-9423
(256) 237-6007

Taxonomy

Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
1059
AL
111NS0005X
Sports Physician Chiropractor
Primary
1059
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6213099743
FMCSA
Enumeration date
07/14/2005
Last updated
09/04/2019
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