Stacy C. Wade
Anesthesiologist
619 19th St S Jt 845
Birmingham
, Alabama 35249-6810
Stacy C. Wade
Anesthesiologist
619 19th St S Jt 845
Birmingham
, Alabama 35249-6810
(205) 297-9411
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Stacy C. Wade
- Po Box 55310
- Birmingham, AL
- Zip : 35255-5310
- Fax : (205) 297-9411
- Phone : (205) 731-9701
Second Address
- Stacy C. Wade
- 619 19th St S Jt 845
- Birmingham, AL
- Zip : 35249-6810
- Fax : (205) 975-0214
- Phone : (205) 934-4696
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | MD.30727 | AL |
National Provider Identifier
| NPI | 1013144146 |
|---|---|
| Provider Name | Stacy C. Wade |
| First Address | Birmingham, AL 35255-5310 |
| Second Address | Birmingham, AL 35249-6810 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2009 |
| Last Update Date | 25/01/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.