Individual
RICHARD ALBERT BIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PRISMA HEALTH MEDICAL GROUP ORTHOPEDIC SURGERY CENTER, 2 MEDICAL PARK, SUITE 105, COLUMBIA, SC 29203
(803) 434-6812
(803) 434-7306
Mailing address
PRISMA HEALTH MEDICAL GROUP ORTHOPEDIC SURGERY CENTER, 2 MEDICAL PARK, SUITE 105, COLUMBIA, SC 29203
(803) 434-6812
(803) 434-7306
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
LL86147
SC
Other
Enumeration date
05/19/2021
Last updated
07/30/2021
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