Wadsworth, Jeffery Trad
Wadsworth, Jeffery Trad is an individual health care provider with primary practice located at 1365A Clifton Rd Ne Room A2303, Atlanta GA 30322-1013. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otology & Neurotology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is his primary health care specialty. Wadsworth, Jeffery Trad can be contacted via phone (404) 778-3381.Contact Information
Primary practice address
1365A Clifton Rd Ne Room A2303
Atlanta GA 30322-1013
Phone: (404) 778-3381
Fax: (404) 778-4295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | 0101231639 | Virginia |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 0101231639 | Virginia |
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 0101231639 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 0101231639 | Virginia |
Profile Details
| NPI number | 1578531216 |
|---|---|
| LBN Legal business name | Wadsworth, Jeffery Trad |
| Credentials | MD, FACS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jul 1st, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578531216 | NPPES |
| Virginia | MEDICAID | 006503004 | |
| Virginia | MEDICAID | 89064P3 | |
| Virginia | Other | PAR | |
| Virginia | Other | 294562 | |
| Virginia | Other | 434684 | |
| Virginia | Other | PAR | |
| Virginia | Other | PAR | |
| Virginia | Other | PAR | |
| Virginia | Other | PAR | |
| Virginia | Other | 064P3 | |
| Virginia | Other | PAR | |
| Virginia | Other | PAR | |
| Virginia | Other | -004 | |
| Virginia | Other | 41264 | |
| Virginia | Other | PAR |
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