Individual
DR. BILLIE JEAN WADDELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9 RICHLAND MEDICAL PARK, SUITE 110, COLUMBIA, SC 29203-6859
(803) 252-1816
(803) 252-9132
Mailing address
9 RICHLAND MEDICAL PARK, SUITE 110, COLUMBIA, SC 29203-6859
(803) 252-1816
(803) 252-9132
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19437
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194373
—
SC
Enumeration date
11/28/2005
Last updated
07/09/2007
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