Individual
GEORGE L WADE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
173 EXECUTIVE DR, DANVILLE, VA 24541-4101
(434) 792-0123
(434) 792-0144
Mailing address
173 EXECUTIVE DR, DANVILLE, VA 24541-4101
(434) 792-0123
(434) 792-0144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001818
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005865760
—
VA
Enumeration date
09/21/2005
Last updated
03/11/2025
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