Wade, Robert Tyson

Wade, Robert Tyson is an individual health care provider with primary practice located at 1 Freedom Way # 26 , Augusta GA 30904-6258. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Wade, Robert Tyson can be contacted via phone (706) 733-0188.

Contact Information

Primary practice address
1 Freedom Way # 26 Augusta GA 30904-6258
Phone: (706) 733-0188
Fax: (706) 731-7190
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1891980975
LBN Legal business name Wade, Robert Tyson
Credentials MS.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2007
Last updated Sep 11th, 2007 - about 19 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

Popular Providers