Provider Demographics
NPI:1306214341
Name:WADE, MADELAINE ROSE (MD)
Entity type:Individual
Prefix:DR
First Name:MADELAINE
Middle Name:ROSE
Last Name:WADE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MADELAINE
Other - Middle Name:ROSE
Other - Last Name:SCHAUFEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN
Mailing Address - Street 1:8560 COOK ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:NC
Mailing Address - Zip Code:28124-7686
Mailing Address - Country:US
Mailing Address - Phone:704-436-6521
Mailing Address - Fax:
Practice Address - Street 1:8560 COOK ST
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:NC
Practice Address - Zip Code:28124-7686
Practice Address - Country:US
Practice Address - Phone:704-436-6521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV4774207Q00000X, 207Q00000X
NC2025-02250207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine