Individual
JASON L WECHSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-2200
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 536-0998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
908
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000016864
UNISON
SC
05
—
009083
—
SC
01
—
20043297
FIRST CHOICE
SC
01
—
3728858
CIGNA
SC
01
—
7908678
AETNA
SC
01
—
E2752
MEDCOST
SC
Enumeration date
12/16/2005
Last updated
12/10/2018
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