Individual
DR. LISA F WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
1751 CALHOUN ST, COLUMBIA, SC 29201-2606
(803) 898-0800
Mailing address
109 PEBBLE CREEK RD, COLUMBIA, SC 29223-3112
(803) 699-8126
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
16993
SC
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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