Search › Georgia › 152W00000X
Crystal Wade, LDO
NPI 1326483405 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1240 Highway 54 W Ste 307
Fayetteville, GA 30214 - Phone
- (678) 834-7411
- Fax
- (678) 834-7414
- Organisation at this address
- Medalert,Llc
A Plus Optique
Cb & Nikky Inc
Virtis Health, Llc
Amedisys Georgia LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Additional practice sites
- 840 Glynn St S Ste 344, Fayetteville, GA
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 156FC0800X
156FX1800X
152WC0802X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-31
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