Individual
ANDREW H WOLDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4840 FOREST DR, PMB #350, COLUMBIA, SC 29206-4810
(803) 790-9002
Mailing address
3555 HARDEN STREET EXT, 15 MEDICAL PARK, SUITE 300, COLUMBIA, SC 29203-6894
(803) 434-6410
(803) 434-1537
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
23177
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23177
WOLDORF STATE LICENSE #
SC
05
—
T73408
—
SC
Enumeration date
04/18/2006
Last updated
01/11/2017
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