Robert Tyson Wade in Augusta - Addiction (substance Use Disorder)
Robert Tyson Wade - NPI 1891980975
Robert Tyson Wade is a Addiction (substance Use Disorder) in Augusta, Georgia. Robert Tyson Wade practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Robert Tyson Wade is 1891980975. The last update date is 2007-09-11.
Robert Tyson Wade's current location address is 1 Freedom Way # 26, Augusta, Georgia. You can contact this provider via phone number 7067330188 and fax number 7067317190. The mailing address for Robert Tyson Wade is 1 Freedom Way # 26, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Tyson Wade |
|---|---|
| Address | 1 Freedom Way # 26, Augusta, Georgia |
| Phone Number | 7067330188 |
| Fax Number | 7067317190 |
| Sole Proprietor | N |
| Credentials | MS. |
NPI Number Detail
| NPI Number | 1891980975 |
|---|---|
| Provider Enumeration Date | 2007-09-11 |
| Last Updated Date | 2007-09-11 |
Provider Mailing Address Detail
| Address | 1 Freedom Way # 26 |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309046258 |
| Phone Number | 7067330188 |
| Fax Number | 7067317190 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique identification code assigned to Robert Tyson Wade by the Centers for Medicare & Medicaid Services?
The Robert Tyson Wade has been issued the NPI (National Provider Identifier) 1891980975. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Robert Tyson Wade's physical address?
The Robert Tyson Wade is physically located at 1 Freedom Way # 26, in the city of Augusta, GA, with the postal code 309046258.
What is the Robert Tyson Wade's area of specialization and corresponding taxonomy classification?
The Robert Tyson Wade's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
On what date did the Robert Tyson Wade receive its 1891980975 assignment from the Centers for Medicare & Medicaid Services?
The Robert Tyson Wade was assigned its 1891980975 by the Centers for Medicare & Medicaid Services on 2007-09-11.
When was the Robert Tyson Wade's information last updated?
The Robert Tyson Wade's information was last updated on 2007-09-11.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA