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Individual

MR. JAMES DAVID WADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6019
(843) 674-5000
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209006566
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041300787
IL RN LICENSE NUMBER
IL
01
209006566
APN LICENSE #
IL
Enumeration date
01/22/2007
Last updated
07/04/2026
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