Individual
WADE A POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 E LAYFAIR DR STE A, FLOWOOD, MS 39232-9526
(601) 987-8200
(601) 987-8211
Mailing address
290 E LAYFAIR DR STE A, FLOWOOD, MS 39232-9526
(601) 987-8200
(601) 987-8211
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0605
MS
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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