Edith Wade is a Dietitian, Registered in Lexington, Mississippi. Edith Wade practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Edith Wade is 1235347121. The last update date is 2007-10-02.
Edith Wade's current location address is 17280 Highway 17 South, Lexington, Mississippi. You can contact this provider via phone number 6628341857 and fax number 6628341859. The mailing address for Edith Wade is 17280 Highway 17 South, Lexington, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edith Wade |
|---|---|
| Address | 17280 Highway 17 South, Lexington, Mississippi |
| Phone Number | 6628341857 |
| Fax Number | 6628341859 |
| Sole Proprietor | N |
| Credentials | L.D. |
NPI Number Detail
| NPI Number | 1235347121 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-10-02 |
Provider Mailing Address Detail
| Address | 17280 Highway 17 South |
|---|---|
| City | Lexington |
| State | Mississippi (MS) |
| Post Code | 390950479 |
| Phone Number | 6628341857 |
| Fax Number | 6628341859 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 726330 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D0482 | MS | LICENSED DIETICTIAN | |
| 3300362 | MS | -- |
Post Comment/ Review Below
What is the Edith Wade's 1235347121?
The Edith Wade's NPI (National Provider Identifier) Number is 1235347121. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Edith Wade's physical address?
The Edith Wade is physically located at 17280 Highway 17 South, in the city of Lexington, MS, with the postal code 390950479.
What is Edith Wade's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Edith Wade's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.
On what date did the Edith Wade receive the assignment of its 1235347121 from the Centers for Medicare & Medicaid Services?
The Edith Wade was issued its 1235347121 by the Centers for Medicare & Medicaid Services on 2007-05-21.
When was the information regarding Edith Wade, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Edith Wade, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-02.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC