Individual
DR. PEGGY C WADMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7901 FARROW RD, COLUMBIA, SC 29203-3220
(803) 935-5809
Mailing address
2026 MAIN ST, NEWBERRY, SC 29108-3522
(803) 318-0313
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
20443
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204433
—
SC
Enumeration date
10/12/2006
Last updated
02/08/2008
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