Individual
MR. ANTHONY T. WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3903 S COBB DR SE, SMYRNA, GA 30080-6342
(678) 838-6600
Mailing address
2908 RIVER RIDGE HL, DECATUR, GA 30034-6934
(404) 819-9198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004101
GA
Other
Enumeration date
08/25/2006
Last updated
06/24/2009
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