Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN GLENN WIDENHOUSE, M.D.
ActiveBRIAN GLENN WIDENHOUSE, M.D. is a Plastic and Reconstructive Surgery healthcare provider located in NORTH CHARLESTON, South Carolina. NPI 1265481543 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · NORTH CHARLESTON, SC
Registration Details
- NPI Number
- 1265481543
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2006 (20.297781699064 yrs)
- Last Updated
- Apr 3, 2017
- License
-
20096 (SC)
Practice Information
- Address
-
2683 LAKE PARK DRNORTH CHARLESTON, SC, 294069100Browse SC providers · Browse ZIP 29406
- Phone
- 8435185000
- Fax
- 8436148959
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.