Individual
DR. HENRY WADE GILES
Active
Individual
DR. HENRY WADE GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
16495
MS
2085R0202X
Diagnostic Radiology Physician
Primary
MD.022262
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121180
—
MS
05
—
157007
—
AL
01
—
300104394
RAILROAD MEDICARE
MS
01
—
512G700003
MS MEDICARE - GROUP
MS
01
—
P00462206
RAILROAD MEDICARE
MS
01
—
P01198273
RAILROAD MEDICARE PTAN
MS
Enumeration date
06/22/2006
Last updated
09/27/2021
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