Individual
DR. TERRY ALAN WADDELL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 20TH ST STE 205, HUNTINGTON, WV 25703-2071
(304) 691-1500
(304) 523-4358
Mailing address
1115 20TH ST STE 205, HUNTINGTON, WV 25703-2071
(304) 691-1500
(304) 523-4358
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/23/2024
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