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1750403713
LISA F WADDELL
COLUMBIA, SC
NPI
1750403713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2083P0901X Preventive Medicine Public Health & General Preventive Medicine
(Licence: SC 16993)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
DR. LISA F WADDELL M.D., M.P.H.
1751 CALHOUN ST
COLUMBIA, SC 29201-2606
Phone number: 803-898-0800
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Mailing Address
DR. LISA F WADDELL M.D., M.P.H.
109 PEBBLE CREEK RD
COLUMBIA, SC 29223-3112
Phone number: 803-699-8126
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