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Contact Information

JONATHAN D WADE, DO
110 S JEFFERSON ST
NASHVILLE, GA31639
 Phone: 229-638-6726
 Fax: 229-518-4425
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JONATHAN D WADE · (Male)

NPI # 1528297538
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/11/2009
Last updated 06/04/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 66666
  • SC License # 1263
Hospital affiliation(s)
  • LOUIS SMITH MEMORIAL HOSPITAL - (Critical Access)
    116 WEST THIGPEN AVENUE
    LAKELAND, GA 31635
  • SGMC BERRIEN CAMPUS - (Acute Care)
    1221 E MCPHERSON AVENUE
    NASHVILLE, GA 31639
  • SOUTH GEORGIA MEDICAL CENTER - (Acute Care)
    2501 NORTH PATTERSON STREET, PO BOX 1727
    VALDOSTA, GA 31603
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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