IndividualActive
Jeffrey Wisinski, DO
NPI 1275989667 · Sports Medicine (Family Medicine) Physician · Columbia, SC
Provider details
- NPI number
- 1275989667
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- OS020477 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3209 Colonial Dr
Columbia, SC 29203-6930
Phone: (803) 434-6113
Fax: (803) 758-0106
Approximate (ZIP-level) locationGet directions
Mailing address
300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842
Additional practice locations (1)
- 1850 E Park Ave Ste 112State College, PA 16803-6706Phone: (814) 865-3566Fax: (814) 235-4780
Registry dates
- Enumerated
- 2016-05-04
- Last updated
- 2023-03-06
- Certified
- 2023-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.