Organization
WADDELL CENTER FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEBRINA B HOLT (EXECUTIVE DIRECTOR)
(256) 216-9648
Entity
Organization
Contact information
Practice address
902 W WASHINGTON ST, ATHENS, AL 35611-2438
(256) 216-9777
(256) 216-9776
Mailing address
902 W WASHINGTON ST, ATHENS, AL 35611-2438
(256) 216-9777
(256) 216-9776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AL
Enumeration date
05/19/2017
Last updated
01/05/2024
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