Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Brenda Willis-Wade, MD

Individual provider Internal Medicine Physician · NPI 1902420573

Dr. Brenda Willis-Wade, MD is an Internal Medicine Physician in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 Keswick Place Dr
Lawrenceville, GA 30043-6627
Phone: (678) 773-6270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301044144 (MI)

Record details

NPI number1902420573
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 30, 2020
Last updated in NPPESMay 30, 2020
Certification dateMay 30, 2020

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