Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Marvin Scott Wade, PA

Individual provider Physician Assistant · NPI 1477534469

Mr. Marvin Scott Wade, PA is a Physician Assistant in North Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2005.

Licensed in
SC
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

9267 Medical Plaza Dr
North Charleston, SC 29406-9139
Phone: (843) 797-3636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2091 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 1057840

Record details

NPI number1477534469
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 8, 2005
Last updated in NPPESJune 24, 2016

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