NPI 1629737952
Shaun Michael Wade
Practice location
- Address
- 4767 Highway 58, Chattanooga, TN 37416-2282
- Phone
- (678) 670-0967
- Mailing address
- 7201 Sylvia Trl, Chattanooga, TN 37421-4062
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1629737952
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Dec 2021
- Record last updated
- 14 Dec 2021
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.