Dr. Matthew M Wienecke
Pediatric Cardiologist
9 Richland Medical Park Dr Suite 200a
Columbia
, South Carolina 29203-6859
Dr. Matthew M Wienecke
Pediatric Cardiologist
9 Richland Medical Park Dr Suite 200a
Columbia
, South Carolina 29203-6859
(803) 296-7330
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Dr. Matthew M Wienecke
- Po Box 743904
- Atlanta, GA
- Zip : 30374-3904
- Fax : (803) 296-7330
- Phone : (803) 296-7303
Second Address
- Dr. Matthew M Wienecke
- 9 Richland Medical Park Dr Suite 200a
- Columbia, SC
- Zip : 29203-6859
- Fax : (803) 434-2262
- Phone : (803) 434-7940
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | 14381 | SC |
National Provider Identifier
| NPI | 1104855089 |
|---|---|
| Provider Name | Dr. Matthew M Wienecke |
| First Address | Atlanta, GA 30374-3904 |
| Second Address | Columbia, SC 29203-6859 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2006 |
| Last Update Date | 21/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 143810 | (05) | SC |
| F69349 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.