Organization
ABINGDON EAR NOSE & THROAT ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M WADE MD (PHYSICIAN)
(276) 628-9547
Entity
Organization
Contact information
Practice address
176 VALLEY ST NW, ABINGDON, VA 24210-2836
(276) 628-9547
(276) 628-8221
Mailing address
PO BOX 1328, ABINGDON, VA 24212-1328
(276) 628-9547
(276) 628-8221
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067757
BC/BS VA
VA
Enumeration date
08/24/2006
Last updated
08/06/2008
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