WADDELL CENTER FAMILY MEDICINE NPI 1104353226

NPI Information

WADDELL CENTER FAMILY MEDICINE is a family medicine in Athens, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WADDELL CENTER FAMILY MEDICINE NPI is 1104353226. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

902 W WASHINGTON ST
ATHENS, AL
ZIP 35611-438
Phone: (256) 216-9777
Fax: (256) 216-9776

The provider's authorized official is James R Comer .
The authorized official title is Cfo/coo and has the following contact phone number (256) 233-9172.

The CLIA number assigned to this NPI record is 01D1078823 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2017 and was last updated on 5/19/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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