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Tambaneka Wade, CN0028858650
NPI 1174248108 · on the registry since 2022 · sole proprietor
Practice
- Address
- 5959 Fairington Rd Apt 7c
Lithonia, GA 30038 - Phone
- (404) 246-5307
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-12
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 Georgia