Individual
JEFFREY TRENT WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 COLDSTREAM RD, MURFREESBORO, TN 37127-7737
(615) 631-6718
Mailing address
127 COLDSTREAM RD, MURFREESBORO, TN 37127-7737
(615) 631-6718
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33993
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q004457
—
TN
Enumeration date
06/16/2006
Last updated
11/06/2024
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