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Ms. Mary Celeste Wade, RT
Radiography Radiologic Technologist in Kennesaw, Georgia
NPI 1902077415

Mary Celeste Wade is a Radiography Radiologic Technologist based in Kennesaw, GA and is specialized in Radiography. Mary Celeste Wade practices in Kennesaw, GA and has the professional credentials of RT. The NPI Number for Mary Celeste Wade is 1902077415 and holds a License No. 0120005300 (Georgia).

The current practice location address for Mary Celeste Wade is 1029 Travelers Trl Nw, Kennesaw, GA and can be reached out via phone at 770-428-1026.

Location: 1029 Travelers Trl Nw, Kennesaw, GA, 30144-2870
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902077415
Provider Name
Mary Celeste Wade
Credential
RT
Provider Entity Type
Individual
Gender
Female
Address
1029 Travelers Trl Nw, Kennesaw, GA, 30144-2870
Phone Number
770-428-1026
Fax Number
Provider Enumeration Date
03/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1029 Travelers Trl Nw
City
Kennesaw
State
Georgia
Zip
30144-2870
Phone Number
770-428-1026
Fax Number
person
Provider Business Mailing Address Details
Address
1029 Travelers Trl Nw
City
Kennesaw
State
Georgia
Zip
30144-2870
Phone Number
770-428-1026
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
2471C3402X
License No.
0120005300 (Virginia)
Definition
Definition to come...
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