Wade Hampton Gaston IV, PT
NPI #1699867812 in Richland, Mississippi
Provider Information
- NPI Number
- 1699867812
- Entity Type
- Individual
- Name
- Wade Hampton Gaston IV, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Sep 28, 2006
- Last Updated
- Nov 9, 2016
Practice Location
- Address
- 1201 HIGHWAY 49 S
- Address 2
- SUITE 2
- City
- Richland
- State
- Mississippi
- ZIP Code
- 39218-9425
- Phone
- (769) 233-8844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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