NPI 1053172064

Dennis Ray Wade

Practitioner Peer Specialist Orangeburg, SC

Practice location

Address: 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042
Phone: (803) 536-1571

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in South Carolina →

Registry record

NPI: 1053172064
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jan 2024
Record last updated: 17 Jan 2024

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.