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Individual

JAMES MERON WADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
176 VALLEY ST NW, ABINGDON, VA 24210-2836
(276) 628-9547
(276) 628-8221
Mailing address
14460 WHITE TOP VW, ABINGDON, VA 24210-7750
(276) 628-8398

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101029419
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006578268
VA
01
014656
ANTHEM
VA
Enumeration date
09/27/2005
Last updated
02/09/2010
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