Individual
SETH J WIDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
222 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 329-6711
(803) 329-5120
Mailing address
PO BOX 2974, ROCK HILL, SC 29732-4974
(803) 329-6711
(903) 329-5120
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
27
SC
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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