Individual
CHRISTOPHER WILLIAM WIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2418 NNPTC CIRCLE, GOOSE CREEK, SC 29445
(843) 577-5011
Mailing address
2418 NNPTC CIRCLE, GOOSE CREEK, SC 29445
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22693
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226936
—
SC
01
—
P01396492
RR MEDICARE
SC
Enumeration date
11/08/2005
Last updated
02/29/2016
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