Mr. Dudley M Waddle
NP | Nurse Practitioner
132 Professional Park Dr Unit A, Conway
South Carolina, 29526-9268
843-347-4900
Mr. Dudley M Waddle is a Conway, South Carolina based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Mr. Dudley M Waddle is 18521 for Family in South Carolina. His current practice location is 132 Professional Park Dr Unit A, Conway. Patients can reach him at 843-347-4900. Mr. Dudley M Waddle is NP with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1942520705.
Mr. Dudley M Waddle has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Dudley M Waddle speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Dudley M Waddle |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | NP |
| Practice Address: | 132 Professional Park Dr Unit A, Conway,
South Carolina, 29526-9268 |
| Phone: | 843-347-4900 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1942520705 |
| NPI Enumeration Date: | 03 Jun, 2010 |
| NPI Last Update On: | 18 Sep, 2015 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Dudley M Waddle are as mentioned below.
| License Number | Specialization | State | Status | |
| 18521 | Family | South Carolina | Primary | |
| APN14935 | Registered Nurse | Tennessee | Secondary | |
| APN14935 | Nurse Practitioner | Tennessee | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Dudley M Waddle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| NP2575 | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Dudley M Waddle
132 Professional Park Dr Unit A,
Conway, South Carolina |
| Zip: | 29526-9268 |
| Phone Number: | 843-347-4900 |
Patients can reach Mr. Dudley M Waddle at
132 Professional Park Dr Unit A, Conway, South Carolina or can
call to book an appointment on 843-347-4900.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.