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1174175491
JESSICA WANTHAL
COLUMBIA, SC
NPI
1174175491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: SC 88176)
Enumeration Date
2019-07-16
Last Update Date
2022-07-29
Business Address
JESSICA WANTHAL MD
14 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203-6877
Phone number: 803-434-1663
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Mailing Address
JESSICA WANTHAL MD
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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