Search › North Carolina › 164W00000X
Avita Wade
NPI 1023608957 · on the registry since 2021 · sole proprietor
Practice
- Address
- 5110 Misty Oaks Dr Apt 1813
Charlotte, NC 28269 - Phone
- (843) 641-8326
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina