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Organization
ANDREW H. WOLDORF MD
Active
Organization
ANDREW H. WOLDORF MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW H. WOLDORF M. D. (PHYSICIAN)
(803) 790-9002
Entity
Organization
Contact information
Practice address
4840 FOREST DR, PMB 350, COLUMBIA, SC 29206-4810
(803) 790-9002
Mailing address
4840 FOREST DR, PMB 350, COLUMBIA, SC 29206-4810
(803) 790-9002
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
23177
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4304
—
SC
Enumeration date
04/18/2006
Last updated
05/19/2008
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