Witherspoon, Patricia Wilson
Witherspoon, Patricia Wilson is an individual health care provider with primary practice located at 3209 Colonial Dr , Columbia SC 29203-6930. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Witherspoon, Patricia Wilson can be contacted via phone (803) 434-6113.Contact Information
Primary practice address
3209 Colonial Dr
Columbia SC 29203-6930
Phone: (803) 434-6113
Fax: (803) 434-7231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17212 | South Carolina |
Profile Details
| NPI number | 1336114834 |
|---|---|
| LBN Legal business name | Witherspoon, Patricia Wilson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Mar 21st, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336114834 | NPPES |
| South Carolina | MEDICAID | 172128 |
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