NPI 1033381769

Tarence Wade M D P C

Organisation Public Health & General Preventive Medicine Physician Greenville, MS

Practice location

Address: 217 S Washington Ave, Greenville, MS 38701-4234
Phone: (662) 820-4833
Fax: (662) 332-8976
Mailing address: 217 S Washington Ave P.O. Box 5129, Greenville, MS 38701-4234

Authorised official

Name: Tarence Earl Wade
Title: President
Phone: (901) 282-7815

Registered specialties

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence 14435 (MS)

Other Preventive Medicine providers in Mississippi →

Registry record

NPI: 1033381769
Entity type: Organization
NPI issued: 2 Apr 2008
Record last updated: 2 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.