# WADDELL CENTER FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003006289
- **Authorized official:** JAMES RANDY COMER (COMPLIANCE)
- **Authorized official phone:** (256) 233-9172

## Contact information

- **Practice address:** 902 W WASHINGTON ST, ATHENS, AL 35611-2438
- **Practice address phone:** (256) 216-9777
- **Mailing address:** PO BOX 999, ATHENS, AL 35612-0999
- **Mailing address phone:** (256) 216-9777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2007
- **Last updated:** 12/14/2010