Gerry Lee Waddle Jr.

Athletic Trainer · Davidson, NC

Individual Active NPI

NPI number 1518181189

Practice location

209 Ridge Road
Davidson, NC 28035
Phone
(704) 894-2806
Fax
(704) 894-2802

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NPI record

NPI
1518181189
Entity type
Individual (Type 1)
Enumeration date
April 12, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 0817 NC

Mailing address

PO Box 1747
Davidson, NC 28036-1747
Phone
(704) 582-1947

About Gerry Waddle

Gerry Lee Waddle Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 209 Ridge Road, Davidson, NC 28035. The NPI number 1518181189 was assigned on April 12, 2007 and the record was last updated on July 8, 2007.

Gerry Waddle lists a license in the registry: #0817 (NC) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gerry Lee Waddle Jr.?

The NPI number is 1518181189.

What is the phone number of Gerry Waddle?

The phone number listed for the practice location is (704) 894-2806.

Where is Gerry Waddle located?

209 Ridge Road, Davidson, NC 28035.

What is the taxonomy code for Gerry Waddle?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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