Individual
KURT ALEXANDER WALDTHAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
146 E HOSPITAL DR STE 200, WEST COLUMBIA, SC 29169-4800
(803) 791-2000
Mailing address
241 ROLLING ROCK RD, COLUMBIA, SC 29212-3022
(864) 477-8142
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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