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

Wade in the Water Medicine LLC

Organization Specialist · NPI 1629416730

Wade in the Water Medicine LLC provides Specialist services in Chattanooga, Tennessee. Licensed in Tennessee. Registered with an NPI since 2013.

Licensed in
TN
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5600 Brainerd Rd FC5
Chattanooga, TN 37411-5310 Not confirmed with CMS for 12 years — call before visiting
Phone: (423) 355-5471
Fax: (423) 355-5472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD24920 (TN)

Record details

NPI number1629416730
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carroll Odem — President · (423) 400-9910
NPI enumeratedJune 11, 2013
Last updated in NPPESApril 30, 2014
Mailing address5600 Brainerd Rd, Fc5, Chattanooga, TN 37411-5310

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