Family Clinicpllc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY CLINICPLLC

Practice address

211 Brook Rd
Aberdeen, NC 28315-3125

Phone

(910) 944-7777

Fax

(910) 944-9663

NPI assigned

Dec 30, 2009

Last updated

Jun 7, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roger D Waddell, MDNPI 1558330373

Title

President/Physician

Phone

(910) 944-7777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger D Waddell, M.D.

  • Family Medicine Physician
  • Aberdeen, NC
  • NPI 1558330373
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1831429547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BROOK RD",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283153125",
            "telephone_number": "910-944-7777",
            "fax_number": "910-944-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BROOK RD",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283153125",
            "telephone_number": "910-944-7777",
            "fax_number": "910-944-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CLINICPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "910-944-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Aberdeen, NC
• Providers in Aberdeen, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.