Wade, Andrew A
Wade, Andrew A is an individual health care provider with primary practice located at 1326 Eisenhower Dr , Savannah GA 31406-3928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wade, Andrew A can be contacted via phone (912) 691-4200.Contact Information
Primary practice address
1326 Eisenhower Dr
Savannah GA 31406-3928
Phone: (912) 691-4200
Fax: (912) 691-4209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 216214 | Massachusetts |
Profile Details
| NPI number | 1013908292 |
|---|---|
| LBN Legal business name | Wade, Andrew A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Mar 31st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013908292 | NPPES |
| Georgia | MEDICAID | 442981713A | |
| Georgia | MEDICAID | G57264 |
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