| Edith Wade, LD | |
|
17280 Highway 17 South, Lexington, MS 39095-0479 | |
| (662) 834-1857 | |
| (662) 834-1859 |
| Full Name | Edith Wade |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 17280 Highway 17 South, Lexington, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235347121 | NPI | - | NPPES |
| D0482 | Other | MS | LICENSED DIETICTIAN |
| 03300362 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 726330 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edith Wade, LD 211 Boulevard St, Lexington, MS 39095-3530 Ph: (601) 260-1254 | Edith Wade, LD 17280 Highway 17 South, Lexington, MS 39095-0479 Ph: (662) 834-1857 |
Amber Fly Westbrooks, L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17280 Highway 17, Lexington, MS 39095 Phone: 662-834-1857 | |
Kyskie Bolton, RD Dietitian Medicare: Medicare Enrolled Practice Location: 17280 Highway 17, Lexington, MS 39095 Phone: 662-834-1857 Fax: 662-834-1859 | |
Lindsay Taylor, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17280 Highway 17, Lexington, MS 39095 Phone: 662-834-1857 Fax: 662-834-1859 | |
Angelee B Mayo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17280 Highway 17, Lexington, MS 39095 Phone: 662-834-1857 | |
Marven Denis Cantave, RD Dietitian Medicare: Medicare Enrolled Practice Location: 208 Court Sq, Lexington, MS 39095 Phone: 216-633-8189 | |
Mnt Delta Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 208 Court Sq, Lexington, MS 39095 Phone: 216-633-8189 |