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Individual

MR. MARVIN SCOTT WADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
9267 MEDICAL PLAZA DR, NORTH CHARLESTON, SC 29406-9139
(843) 797-3636
Mailing address
9267 MEDICAL PLAZA DR, NORTH CHARLESTON, SC 29406-9139
(843) 797-3636

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1057840
363A00000X
Physician Assistant
Primary
2091
SC

Other

Enumeration date
11/08/2005
Last updated
06/24/2016
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