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Individual

DR. THOMAS WADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1800 PHOENIX BLVD, SUITE 210, ATLANTA, GA 30349-5593
(770) 994-1360
(770) 994-1264
Mailing address
1800 PHOENIX BLVD, SUITE 210, ATLANTA, GA 30349-5593
(770) 994-1360
(770) 994-1264

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
83621S
GA

Other

Enumeration date
11/09/2006
Last updated
07/08/2007
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