Individual
MAGGIE WEDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 E BUTLER RD, GREENVILLE, SC 29607-5842
(864) 675-6421
Mailing address
72 FARIS CIR, GREENVILLE, SC 29605-1010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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