Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VANESSA K WIDEMAN, MD
ActiveVANESSA K WIDEMAN, MD is a Family Medicine healthcare provider located in EASTOVER, South Carolina. NPI 1982691796 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · EASTOVER, SC
Registration Details
- NPI Number
- 1982691796
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 6, 2005 (20.670586317895 yrs)
- Last Updated
- Dec 17, 2024
- License
-
29480 (SC)
Practice Information
- Address
-
1325 S CAROLINA RD STE 11EASTOVER, SC, 29044Browse SC providers · Browse ZIP 29044
- Phone
- 8036478295
- Fax
- 8036478612
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.