Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gerry Lee Waddle Jr.

Individual provider Athletic Trainer · NPI 1518181189

Mr. Gerry Lee Waddle Jr. is an Athletic Trainer in Davidson, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007

Practice location Address checks out

209 Ridge Rd
Davidson, NC 28035
Phone: (704) 894-2806
Fax: (704) 894-2802
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0817 (NC)

Record details

NPI number1518181189
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 12, 2007
Last updated in NPPESJuly 8, 2007

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