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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MARY CELESTE WADE, RT

Active Sole Proprietor

MS. MARY CELESTE WADE, RT is a 2471C3402X healthcare provider located in KENNESAW, Georgia. NPI 1902077415 is currently active in the NPPES registry. Verify at CMS.

2471C3402X · KENNESAW, GA

Registration Details

NPI Number
1902077415
Provider Type
Individual
Gender
Female
NPI Issued
Mar 12, 2008 (18.385367966545 yrs)
Last Updated
Mar 12, 2008
License
0120005300 (VA)
Sole Proprietor
Yes

Practice Information

Address
1029 TRAVELERS TRL NW
KENNESAW, GA, 301442870
Browse GA providers · Browse ZIP 30144
Phone
7704281026
Primary Specialty
2471C3402X
2471C3402X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.