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1033217716
MICHELLE WIDENER
COLUMBIA, SC
NPI
1033217716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: SC 247986)
Enumeration Date
2006-09-20
Last Update Date
2022-11-21
Business Address
Dr. MICHELLE WIDENER M.D.
11 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203-6863
Phone number: 803-434-4506
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Mailing Address
Dr. MICHELLE WIDENER M.D.
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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