Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT JEROME WILKERSON, M.D.
ActiveOtolaryngic Allergy · GREENVILLE, SC
Registration Details
- NPI Number
- 1407167489
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2010 (15.868020580571 yrs)
- Last Updated
- Dec 14, 2022
- Licenses
-
4301108235 (MI)86683 (SC)
Practice Information
- Address
-
200 PATEWOOD DR STE B400GREENVILLE, SC, 296156306Browse SC providers · Browse ZIP 29615
- Phone
- 8644544368
- Fax
- 8642419232
- Primary Specialty
-
Otolaryngic Allergy
207YX0901X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Otolaryngic Allergy
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.