Individual
ALLISON MARIE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5050
SC
363AS0400X
Surgical Physician Assistant
5050
SC
Other
Enumeration date
09/18/2023
Last updated
01/30/2025
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