PAUL E WIDMAYER

COLUMBIA, SC
NPI1851310775
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: AZ  913170)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
-- PAUL E WIDMAYER MSRD
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
Mailing Address
-- PAUL E WIDMAYER MSRD
920 HALLBROOK DR
COLUMBIA, SC 29209-4710
Phone number: 803-647-1477
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