Search › South Carolina › 363A00000X
Ammon Waddell, PA-C
NPI 1780114348 · on the registry since 2017
Practice
- Address
- 602 N Main St
Summerville, SC 29483 - Phone
- (843) 881-4440
- Fax
- (843) 225-0110
- Organisation at this address
- Carolina Family Care, Inc
Flowertown Medical ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 612 Seacoast Pkwy, Mt Pleasant, SC
- 1814 Crowne Commons Way, Johns Island, SC
- 14490 Ocean Hwy, Pawleys Island, SC
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- SC, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina