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Organization

TOCCOA CLINIC MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JIM R WADE (PHYSICIAN)
(706) 886-7537
Entity
Organization

Contact information

Practice address
12192 AUGUSTA RD, LAVONIA, GA 30553-1209
(706) 886-7537
(706) 886-6542
Mailing address
12192 AUGUSTA RD, LAVONIA, GA 30553-1209
(706) 886-7537
(706) 886-6542

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
07/16/2007
Last updated
03/25/2008
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