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Individual

ALLAN M WELDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
220 BROAD ST, SUMTER, SC 29150-4102
(803) 778-6555
(803) 773-8226
Mailing address
4416 FOREST DR, 2ND FLOOR, COLUMBIA, SC 29206-3104
(803) 782-4278
(803) 782-3445

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7779
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
077794
SC
Enumeration date
07/27/2006
Last updated
07/08/2007
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