Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vanessa K Wideman, MD

Individual provider Family Medicine Physician · NPI 1982691796

Vanessa K Wideman, MD is a Family Medicine Physician in Eastover, South Carolina. Works from 2 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1325 S Carolina Rd Ste 11
Eastover, SC 29044
Phone: (803) 647-8295
Fax: (803) 647-8612
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 40 Pinnacle Parkway, Elgin, SC 29045 — (803) 424-5165

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 29480 (SC)

Record details

NPI number1982691796
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 6, 2005
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address1325 S Carolina Rd Ste 11, Eastover, SC 29044-5000

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