NPI 1902077415

Mary Celeste Wade, RT

Practitioner Radiography Radiologic Technologist Kennesaw, GA

Practice location

Address: 1029 Travelers Trl NW, Kennesaw, GA 30144-2870
Phone: (770) 428-1026

Registered specialties

Radiography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X Licence 0120005300 (VA)

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Registry record

NPI: 1902077415
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2008
Record last updated: 12 Mar 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.