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Individual

ZANE K WADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1230 BAXTER ST, PATHOLOGY DEPT, ATHENS, GA 30606
(706) 389-2425
(706) 389-2426
Mailing address
PO BOX 491270, LAWRENCEVILLE, GA 30049
(706) 389-2425

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
052236
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529084968A
GA
01
P00194114
RAILROAD MEDICARE
GA
Enumeration date
02/28/2006
Last updated
03/05/2026
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