Individual
JONATHAN DAVID WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
110 S JEFFERSON ST, NASHVILLE, GA 31639
(229) 638-6726
(229) 518-4425
Mailing address
110 S JEFFERSON ST, NASHVILLE, GA 31639-2268
(229) 638-6726
(229) 518-4425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1263
SC
207Q00000X
Family Medicine Physician
Primary
66666
GA
Other
Enumeration date
07/11/2009
Last updated
06/04/2018
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