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Raevin Wade
NPI 1053249763 · on the registry since 2026
Practice
- Address
- 525 N Main St Fl 3
Hattiesburg, MS 39401 - Phone
- (601) 699-4080
- Clinicians at this address
- 5
Additional practice sites
- 29 Park Pl, Hattiesburg, MS
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- AL, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi