Individual
DOUGLAS A. WADESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 S SALEM ST, APEX, NC 27502-1825
(919) 362-5201
(919) 387-5905
Mailing address
212 S SALEM ST, APEX, NC 27502-1825
(919) 362-5201
(919) 387-5905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014-00247
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080075531
RR MEDICARE
FL
05
—
377344200
—
FL
Enumeration date
12/16/2005
Last updated
12/09/2014
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