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Contact Information

GERRY L WADDLE JR
209 RIDGE ROAD
DAVIDSON, NC28035
 Phone: 704-894-2806
 Fax: 704-894-2802
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for GERRY L WADDLE JR · (Male)

NPI Number 1518181189
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 0817
Hospital affiliation(s) Not Available
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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