NPI 1114790730

Virginia K Wade, CSFA

Practitioner Surgical Assistant Montgomery, AL

Practice location

Address: 1725 Pine St, Montgomery, AL 36106-1117
Phone: (334) 293-8700
Mailing address: 1758 Park Pl STE 300, Montgomery, AL 36106-1137

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 201844 (CO)

Other Specialist/Technologist, Other providers in Alabama →

Registry record

NPI: 1114790730
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2023
Record last updated: 6 Nov 2023

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.