DR. THOMAS WADE M.D. - NPI 1336219062 - Specialist in Atlanta, GA

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

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About Dr. Thomas Wade M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS WADE M.D. (NPI 1336219062) is an individual specialist in Atlanta, Georgia, licensed in Georgia (83621S) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1336219062

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. THOMAS WADECredential: M.D.

Location Address1800 PHOENIX BLVD, SUITE 210Atlanta, GA 30349-5593

Mailing Address1800 Phoenix Blvd, Suite 210Atlanta, GA 30349-5593 · (770) 994-1360 · Fax (770) 994-1264

Phone(770) 994-1360

Fax(770) 994-1264

Sole ProprietorNo

Enumeration DateNovember 9, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1336219062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in GA · 83621S

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1800 PHOENIX BLVD, Atlanta, GA 30349

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