| NPI | 1629586375 |
|---|---|
| Doing Business As | WADE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MODEANNA LEIGH WADE Fnp 901-244-4648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2300X Clinic/Center, Primary Care (Licence: TN 16204) | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR1300X Clinic/Center, Rural Health (Licence: TN 16204) | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2023-05-10 |