Wade, Robert Keath

Wade, Robert Keath is an individual health care provider with primary practice located at 410 Darling Ave , Waycross GA 31501-5246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Wade, Robert Keath can be contacted via phone (912) 261-2669.

Contact Information

Primary practice address
410 Darling Ave Waycross GA 31501-5246
Phone: (912) 261-2669
Fax: (912) 261-0561
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 055575 Georgia

Profile Details

NPI number 1114911054
LBN Legal business name Wade, Robert Keath
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Apr 29th, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114911054 NPPES
Florida MEDICAID 275098800
Florida MEDICAID 791600810
Florida MEDICAID 324421953A

Popular Providers