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WILLIAM BAXTER WADDILL RAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3034
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 873-9533

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
172618
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8052391
NC
01
P00281340
RAILROAD-MEDICARE
NC
Enumeration date
01/25/2007
Last updated
10/23/2014
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