Dr KENNETH WAYNE WADDELL JR. is a male medical professional, specializing in Nurse Practitioner. He graduated in 2018.
HEALTH SERVICES OF CENTRAL GEORGIA
120 N LEE ST
SUITE A
FORSYTH
GA
310292122
Tel: 4789940437
| Npi | 1124504782 |
| Pac Id | 1850644592 |
| Professional Enrollment Id | I20181027000090 |
| Last Name | WADDELL |
| First Name | KENNETH |
| Middle Name | WAYNE |
| Suffix | JR. |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | HEALTH SERVICES OF CENTRAL GEORGIA |
| Group Practice Pac Id | 9638076730 |
| Number Of Group Practice Members | 199 |
| Line 1 Street Address | 120 N LEE ST |
| Line 2 Street Address | SUITE A |
| Marker Of Address Line 2 Suppression | |
| City | FORSYTH |
| State | GA |
| Zip Code | 310292122 |
| Phone Number | 4789940437 |
| Hospital Affiliation Ccn 1 | 110107 |
| Hospital Affiliation Lbn 1 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
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| Professional Accepts Medicare Assignment | Y |
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