# FAMILY CLINICPLLC

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

## Provider details

- **NPI number:** 1831429547
- **Authorized official:** DR. ROGER D WADDELL MD (PRESIDENT/PHYSICIAN)
- **Authorized official phone:** (910) 944-7777

## Contact information

- **Practice address:** 211 BROOK RD, ABERDEEN, NC 28315-3125
- **Practice address phone:** (910) 944-7777
- **Practice address fax:** (910) 944-9663
- **Mailing address:** 211 BROOK RD, ABERDEEN, NC 28315-3125
- **Mailing address phone:** (910) 944-7777
- **Mailing address fax:** (910) 944-9663

## Taxonomy

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

## Other

- **Enumeration date:** 12/30/2009
- **Last updated:** 06/07/2010