Provider Demographics
NPI:1891714275
Name:LAMBERTH, WADE C JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WADE
Middle Name:C
Last Name:LAMBERTH
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2022 BROOKWOOD MEDICAL CTR DR
Mailing Address - Street 2:SUITE 403 ACC
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6808
Mailing Address - Country:US
Mailing Address - Phone:205-877-2627
Mailing Address - Fax:205-871-7602
Practice Address - Street 1:2022 BROOKWOOD MEDICAL CTR DR
Practice Address - Street 2:SUITE 403 ACC
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6808
Practice Address - Country:US
Practice Address - Phone:205-877-2627
Practice Address - Fax:205-871-7602
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-08-20
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Provider Licenses
StateLicense IDTaxonomies
AL5592208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51514970LAMOtherBLUE CROSS OF ALABAMA
ALP00010093OtherRR MEDICARE
AL51553462Medicare PIN
C76381Medicare UPIN