Individual
SEABORN MCDONALD WADE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7501 RIGHT FLANK RD, SUITE 600, MECHANICSVILLE, VA 23116-3863
(804) 559-2489
(804) 730-5847
Mailing address
7202 GLEN FOREST DR, SUITE 200, RICHMOND, VA 23226-3781
(804) 673-0134
(804) 673-1796
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101234527
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265566772
—
VA
01
—
300980
ANTHEM BCBS
VA
01
—
C01120
MEDICARE GROUP PTAN
VA
01
—
P00431656
RR MEDICARE
VA
Enumeration date
03/15/2007
Last updated
05/24/2021
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