Individual
DR. GERALDINE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3641 SUMMERFORD DR, MARIETTA, GA 30062-7015
(770) 579-6557
Mailing address
3641 SUMMERFORD DR, MARIETTA, GA 30062-7015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27466
GA
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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