Individual
FRANK C WADE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 SIMPSON HIGHWAY 149, SUITE 370, MAGEE, MS 39111-3841
(601) 849-1530
(601) 849-1535
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10798
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123452
—
MS
05
—
09883351
—
MS
Enumeration date
04/28/2006
Last updated
08/20/2019
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