Wade, Zane K

Wade, Zane K is an individual health care provider with primary practice located at 1230 Baxter St Pathology Dept, Athens GA 30606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Wade, Zane K can be contacted via phone (706) 389-2425.

Contact Information

Primary practice address
1230 Baxter St Pathology Dept Athens GA 30606
Phone: (706) 389-2425
Fax: (706) 389-2426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 052236 Georgia

Profile Details

NPI number 1366418493
LBN Legal business name Wade, Zane K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366418493 NPPES
Georgia MEDICAID 529084968A
Georgia Other P00194114

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