Provider Demographics
NPI:1154518009
Name:DR CHARLES WADEE MD
Entity type:Organization
Organization Name:DR CHARLES WADEE MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:F
Authorized Official - Last Name:WADEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-261-6000
Mailing Address - Street 1:1403 E GREENVILLE ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-2049
Mailing Address - Country:US
Mailing Address - Phone:864-261-6000
Mailing Address - Fax:864-261-6947
Practice Address - Street 1:1403 E GREENVILLE ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-2049
Practice Address - Country:US
Practice Address - Phone:864-261-6000
Practice Address - Fax:864-261-6947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18985207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty