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Organization

FAMILY CLINICPLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROGER D WADDELL MD (PRESIDENT/PHYSICIAN)
(910) 944-7777
Entity
Organization

Contact information

Practice address
211 BROOK RD, ABERDEEN, NC 28315-3125
(910) 944-7777
(910) 944-9663
Mailing address
211 BROOK RD, ABERDEEN, NC 28315-3125
(910) 944-7777
(910) 944-9663

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
12/30/2009
Last updated
06/07/2010
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