Individual
DR. LAURA E WADDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1801 PIEDMONT AVE NE STE 208, ATLANTA, GA 30324-5214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
65068
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
65068
GA
208000000X
Pediatrics Physician
65068
GA
Other
Enumeration date
05/25/2007
Last updated
02/28/2024
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