Individual
SHONDA MIDDLETON WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1790 PRESIDENTIAL CIR, SUITE C, SNELLVILLE, GA 30078-5688
(770) 979-8022
(770) 979-1098
Mailing address
1790 PRESIDENTIAL CIR, SUITE C, SNELLVILLE, GA 30078-5688
(770) 979-8022
(770) 979-1098
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5256
GA
Other
Enumeration date
09/11/2013
Last updated
04/15/2015
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