Organization
WADDELL CENTER FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RANDY COMER (COMPLIANCE)
(256) 233-9172
Entity
Organization
Contact information
Practice address
902 W WASHINGTON ST, ATHENS, AL 35611-2438
(256) 216-9777
Mailing address
PO BOX 999, ATHENS, AL 35612-0999
(256) 216-9777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/25/2007
Last updated
12/14/2010
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