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NPI Code Detail

MEDICARE: CYNTHIA A WILBERDING MD

MEDICARE:   CYNTHIA A WILBERDING  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician19663SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110206712OTHERSCRAILROAD MEDICARE PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
199648OTHERSCMEDCOST PIN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487606612
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA A WILBERDING MD
Provider Business Mailing Address
First Line : PO BOX 1259
Second Line : SENTINEL HEALTH PARTNERS PA
City : CAMDEN
State : SC
Zip : 29021
Country : US
Telephone Number : 803-713-8350
Fax Number : 803-713-8433
Provider Business Practice Location Address
First Line : 216 E MARION ST
Second Line :
City : KERSHAW
State : SC
Zip : 29067-1442
Country : US
Telephone Number : 803-475-3475
Fax Number : 803-475-5360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 02/24/2012

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Directions to “ CYNTHIA A WILBERDING MD” Practice Location

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