George L Wade in Danville - Physician Assistant

George L Wade - NPI 1912993361

George L Wade is a Physician Assistant in Danville, Virginia. George L Wade practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for George L Wade is 1912993361. The last update date is 2007-07-08.

George L Wade's current location address is 173 Executive Dr, Danville, Virginia. You can contact this provider via phone number 4347920123 and fax number 4347920144. The mailing address for George L Wade is 173 Executive Dr, Danville, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name George L Wade
Address 173 Executive Dr, Danville, Virginia
Phone Number 4347920123
Fax Number 4347920144
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1912993361
Provider Enumeration Date 2005-09-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 173 Executive Dr
City Danville
State Virginia (VA)
Post Code 245414101
Phone Number 4347920123
Fax Number 4347920144

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 110001818
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about George L Wade

What is the unique provider identifier assigned to George L Wade?

The George L Wade has been issued the NPI (National Provider Identifier) 1912993361 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where George L Wade's facilities are situated?

The facilities of George L Wade are physically located at the following address: 173 Executive Dr, Danville, VA, 245414101.

What is George L Wade's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for George L Wade is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1912993361 to George L Wade?

The Centers for Medicare & Medicaid Services originally issued the 1912993361 to George L Wade on 2005-09-21.

As of what date were the details pertaining to George L Wade last refreshed?

The information related to the George L Wade, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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