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NPI Code Detail

MEDICARE: DR. ROBERT D WADLEY MD

MEDICARE: DR. ROBERT D WADLEY MD
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
1207LP2900XPain Medicine (Anesthesiology) Physician2006-01698NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1145P0OTHERNCBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184703332
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT D WADLEY MD
Provider Business Mailing Address
First Line : 7780 BRIER CREEK PKWY STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27617-7869
Country : US
Telephone Number : 919-596-3400
Fax Number : 919-596-3499
Provider Business Practice Location Address
First Line : 7780 BRIER CREEK PKWY STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27617-7869
Country : US
Telephone Number : 919-596-3400
Fax Number : 919-596-3499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 05/31/2013

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