Wideman, Vanessa K

Wideman, Vanessa K is an individual health care provider with primary practice located at 1325 S Carolina Rd Ste 11 , Eastover SC 29044. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wideman, Vanessa K can be contacted via phone (803) 647-8295.

Contact Information

Primary practice address
1325 S Carolina Rd Ste 11 Eastover SC 29044
Phone: (803) 647-8295
Fax: (803) 647-8612
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29480 South Carolina

Profile Details

NPI number 1982691796
LBN Legal business name Wideman, Vanessa K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Dec 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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