Search › Georgia › 207Q00000X
Jonathan Wade, D.O
NPI 1528297538 · on the registry since 2009
Practice
- Address
- 110 S Jefferson St
Nashville, GA 31639 - Phone
- (229) 638-6726
- Fax
- (229) 518-4425
- Organisation at this address
- Direct Doc, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- SC, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-04
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