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1629813761
JONATHAN ROBERT WIDMEYER
CHARLESTON, SC
NPI
1629813761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: SC LL92610)
Enumeration Date
2024-06-29
Last Update Date
2024-06-29
Business Address
JONATHAN ROBERT WIDMEYER MD
171 ASHLEY AVE
CHARLESTON, SC 29425-0100
Phone number: 434-941-9856
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Mailing Address
JONATHAN ROBERT WIDMEYER MD
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-8905
Phone number:
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