person
Wade H Marion, PAC
Medical Physician Assistant in Winston-Salem, North Carolina
NPI 1659357176

Wade H Marion is a Medical Physician Assistant based in Winston-Salem, NC and is specialized in Medical. Wade H Marion practices in Winston-Salem, NC and has the professional credentials of PAC. The NPI Number for Wade H Marion is 1659357176 and holds a License No. 101159 (North Carolina).

The current practice location address for Wade H Marion is Medical Center Boulevard, Winston-Salem, NC and can be reached out via phone at 336-716-6192 and via fax at 336-716-4318.

Location: Medical Center Boulevard, Winston-Salem, NC, 27157
person
Provider Profile Details
NPI Number
1659357176
Provider Name
Wade H Marion
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
Medical Center Boulevard, Winston-Salem, NC, 27157
Phone Number
336-716-6192
Fax Number
336-716-4318
Provider Enumeration Date
12/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2469136 01 NC UNITED HEALTHCARE
1659357176 01 NC VIRGINIA MEDICAID
D5133 01 NC MEDCOST
1659357176 01 NC TRICARE
1659357176 05 NC
1659357176 01 NC PARTNERS
7010743 01 AETNA
1608PA 01 NC SC MEDICAID
institution
Provider Business Practice Location Address Details
Address
Medical Center Boulevard
City
State
Zip
27157
Phone Number
336-716-6192
Fax Number
336-716-4318
person
Provider Business Mailing Address Details
Address
Medical Center Boulevard
City
State
Zip
27157
Phone Number
336-716-6192
Fax Number
336-716-4318
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
101159 (North Carolina)
Definition
Definition to come...
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