MR. Gerry Lee Waddle JR.
NPI #1518181189 in Davidson, North Carolina
Provider Information
- NPI Number
- 1518181189
- Entity Type
- Individual
- Name
- MR. Gerry Lee Waddle JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 209 RIDGE ROAD
- City
- Davidson
- State
- North Carolina
- ZIP Code
- 28035
- Phone
- (704) 894-2806
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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