DR. MD, FACS Jeffery Trad Wadsworth, NPI 1578531216
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Atlanta, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1578531216
NPI Entity Type Individual
Provider Name DR. MD, FACS Jeffery Trad Wadsworth
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1365a Clifton Rd Ne, Room A2303, Atlanta, GA, US
Provider Mailing Address 1365a Clifton Rd Ne, Room A2303, Atlanta, GA, US, 303221013
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207YX0007X

Taxonomy Name Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Classification

Otolaryngology

Group

Allopathic & Osteopathic Physicians

License No. 0101231639
License State VA
Description An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Business Address

DR. MD, FACS Jeffery Trad Wadsworth
1365a Clifton Rd Ne
Room A2303

Atlanta, GA, US

Phone: 404-778-3381
Fax: 404-778-4295

Mailing Address

DR. MD, FACS Jeffery Trad Wadsworth
1365a Clifton Rd Ne
Room A2303
Atlanta, GA, US
ZIP 303221013
Phone: 404-778-3381
Fax: 404-778-4295

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207Y00000X

Allopathic & Osteopathic Physicians

Otolaryngology

0101231639 VA No

207YX0901X

Allopathic & Osteopathic Physicians

Otolaryngology

0101231639 VA No

207YP0228X

Allopathic & Osteopathic Physicians

Otolaryngology

0101231639 VA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
006503004 VA MEDICAID 05
89064P3 NC MEDICAID 05
PAR VA CORVEL/CORCARE 01
294562 VA UHC/MAMSI 01
434684 VA ANTHEM 01
PAR VA VA PREMIER HEALTH 01
PAR VA FIRST HEALTH COMMERCIAL 01
PAR VA CIGNA 01
PAR VA USA MANAGED CARE 01
064P3 NC BC/BS 01
PAR VA VA HEALTH NETWORK 01
PAR VA MULTIPLAN 01
-004 VA TRICARE/CHAMPUS 01
41264 VA SENTARA 01
PAR VA AETNA 01

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1386307460

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Organization

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Organization

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Organization

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Organization

Hand Occupational Therapist

6115 Peachtree Dunwoody Rd Ste 210

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