Larry Wayne Wade, MD

NPI #1922094085 in Fultondale, Alabama

Provider Information

NPI Number: 1922094085
Entity Type: Individual
Name: Larry Wayne Wade, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Sep 23, 2005
Last Updated: Jun 16, 2010

Practice Location

Address: 2619 DECATUR HWY
City: Fultondale
State: Alabama
ZIP Code: 35068-1723
Phone: (205) 841-9898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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