Organization
DIRECT DOC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN D WADE DO (CEO)
(229) 638-6726
Entity
Organization
Contact information
Practice address
110 S JEFFERSON ST, NASHVILLE, GA 31639-2268
(229) 638-6726
(229) 518-4425
Mailing address
110 S JEFFERSON ST, NASHVILLE, GA 31639-2268
(229) 638-6726
(229) 518-4425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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