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COLIN ENGLISH WIDENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 256-5855
(803) 400-5089
Mailing address
2435 FEOREST DRIVE, COLUMBIA, SC 29204-2145
(803) 256-5855
(803) 400-5089

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34433
SC
2080P0203X
Pediatric Critical Care Medicine Physician
MD.29527
AL
208M00000X
Hospitalist Physician
Primary
34433
SC

Other

Enumeration date
07/09/2008
Last updated
03/24/2017
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