BRIAN GLENN WIDENHOUSE

NORTH CHARLESTON, SC
NPI1265481543
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: SC  20096)
Enumeration Date2006-05-06
Last Update Date2017-04-03
Business Address
-- BRIAN GLENN WIDENHOUSE m.d.
2683 LAKE PARK DR
NORTH CHARLESTON, SC 29406-9100
Phone number: 843-518-5000
Mailing Address
-- BRIAN GLENN WIDENHOUSE m.d.
2683 LAKE PARK DR
NORTH CHARLESTON, SC 29406-9100
Phone number: 843-518-5000
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