Individual
DR. ALEX WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
244 PARK PL, WOODSTOCK, GA 30189-5511
(423) 580-6375
Mailing address
244 PARK PL, WOODSTOCK, GA 30189-5511
(423) 580-6375
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012218
GA
Other
Enumeration date
02/01/2012
Last updated
12/08/2015
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