Search › South Carolina › 207Q00000X
Vanessa Wideman, MD
NPI 1982691796 · on the registry since 2005
Practice
- Address
- 1325 S Carolina Rd Ste 11
Eastover, SC 29044 - Phone
- (803) 647-8295
- Fax
- (803) 647-8612
- Clinicians at this address
- 2
Additional practice sites
- 40 Pinnacle Parkway, Elgin, SC
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina