MEDICARE: DR. D WADE JOINER 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
1	207W00000X	Ophthalmology Physician	12090	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	631106237	OTHER	AL	TAX I.D.
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144257726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. D WADE JOINER MD

Provider Business Mailing Address
First Line	:	1009 MONTGOMERY HWY
Second Line	:	SUITE 201
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35216-2831
Country	:	US
Telephone Number	:	205-824-2100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1009 MONTGOMERY HWY
Second Line	:	SUITE 201
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35216-2831
Country	:	US
Telephone Number	:	205-824-2100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	08/18/2020

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