MEDICARE: MS. SOFIA WADE PA-C

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	363AM0700X	Medical Physician Assistant	PA9107517	FL

General Provider Information

NPI Number	:	1366871725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SOFIA WADE PA-C

Provider Business Mailing Address
First Line	:	278 HUGHEY RD
Second Line	:
City	:	ALEXANDER
State	:	NC
Zip	:	28701-9715
Country	:	US
Telephone Number	:	786-281-1988
Fax Number	:

Provider Business Practice Location Address
First Line	:	1340 PATTON AVE STE C
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28806-2623
Country	:	US
Telephone Number	:	772-380-4042
Fax Number	:

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

Provider Enumeration Date	:	11/06/2013
Last Update Date	:	05/19/2026

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