Individual
THOMAS A. WADE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 19TH ST, COLUMBUS, GA 31901-1528
(706) 322-7884
(706) 660-2145
Mailing address
PO BOX 9247, COLUMBUS, GA 31908-9247
(706) 322-7884
(706) 660-2145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16194
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000144152J
—
GA
05
—
00144152F
—
GA
01
—
110054050
RAIL ROAD MEDICARE
GA
Enumeration date
07/27/2006
Last updated
05/06/2015
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