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NPI Code Detail

MEDICARE: WADE THOMAS DAVIS M.D

MEDICARE: WADE THOMAS DAVIS M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2020-03739NC

General Provider Information

NPI Number : 1134652159
Entity Type Code : Individual
Provider Name (Legal Business Name) : WADE THOMAS DAVIS M.D
Provider Business Mailing Address
First Line : 1125 HEALING SPRINGS RD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37419-1043
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 257 BILTMORE AVE
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-4120
Country : US
Telephone Number : 828-285-0622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2017
Last Update Date : 02/12/2026

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