Individual
EUGENE HENRY PETER WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1635 NC HWY 66 SOUTH, SUITE 210, KERNERSVILLE, NC 27284
(336) 992-1770
(336) 992-1776
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 992-1770
(336) 992-1776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28368
NC
Other
Enumeration date
09/27/2005
Last updated
12/13/2012
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