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Search › South Carolina › 2086S0122X

Brian Widenhouse, M.D

NPI 1265481543 · on the registry since 2006

Practice

Address
2683 Lake Park Dr
North Charleston, SC 29406
Phone
(843) 518-5000
Fax
(843) 614-8959
Organisation at this address
Port City Plastic Surgery, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
2086S0122X
2086S0122X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-04-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina