Mr. Gerry Lee Waddle Jr.
Mr. Gerry Lee Waddle Jr. is an Athletic Trainer in Davidson, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2007
Practice location Address checks out
209 Ridge RdDavidson, NC 28035 Not confirmed with CMS for 19 years — call before visiting
Phone: (704) 894-2806
Fax: (704) 894-2802
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 0817 (NC) |
|---|
Record details
| NPI number | 1518181189 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 12, 2007 |
| Last updated in NPPES | July 8, 2007 |
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