NPI
Alisa M Nelson-Wade
NPI 1144460668
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2009-02-24
- Last updated
- 2009-02-24
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Specialties
Licenses
- License GA
- 12336
Location
- Practice location
- 2219 Loganville Hwy, Hwy 20
- City
- Grayson GA
- Postal code
- 30017
- Phone
- (678) 377-1800
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Grayson, GA. 274 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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