Individual
DR. DOUGLAS M WEDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2720 SUNSET BLVD., WEST COLUMBIA, SC 29169
(803) 791-2000
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20749
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T48366
—
SC
Enumeration date
10/27/2006
Last updated
11/11/2020
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