Individual
WADE CHRISTOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1292
(601) 984-5110
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1292
(601) 984-5110
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A167390
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01739501
—
MS
Enumeration date
03/27/2015
Last updated
09/28/2022
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