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Contact Information

KENNETH W WADDELL JR, NP
120 N LEE ST STE A
FORSYTH, GA31029
 Phone: 478-994-0437
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KENNETH W WADDELL JR · (Male)

NPI # 1124504782
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/17/2018
Last updated 07/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN249530
Hospital affiliation(s)
  • MEDICAL CENTER OF CENTRAL GEORGIA - (Acute Care)
    777 HEMLOCK STREET
    MACON, GA 31201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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