Individual
WENDI WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-2425
Mailing address
3860 WAKEFIELD HALL SQ SE, SMYRNA, GA 30080-4915
(770) 653-3295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN089998
GA
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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