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NPI Code Detail

MEDICARE: MR. WADE ASHLEY MARION PA

MEDICARE: MR. WADE ASHLEY MARION PA
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
1363A00000XPhysician Assistant102241NC

General Provider Information

NPI Number : 1609821289
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WADE ASHLEY MARION PA
Provider Business Mailing Address
First Line : PO BOX 3445
Second Line :
City : HICKORY
State : NC
Zip : 28603-3445
Country : US
Telephone Number : 828-322-2050
Fax Number : 828-345-0522
Provider Business Practice Location Address
First Line : 180 PARKWOOD DR
Second Line :
City : ELKIN
State : NC
Zip : 28621-2430
Country : US
Telephone Number : 336-527-7217
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 02/13/2026

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Directions to “ MR. WADE ASHLEY MARION PA” Practice Location

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