Individual
DR. CHARLES ROBERT WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1527 UNIVERSITY AVE, OXFORD, MS 38655-4033
(662) 236-6888
Mailing address
1527 UNIVERSITY AVE, OXFORD, MS 38655-4033
(662) 236-6888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
894
MS
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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