Brian Glenn Widenhouse, MD
Brian Glenn Widenhouse, MD is a Plastic and Reconstructive Surgery in North Charleston, South Carolina. Graduated from Brody School of Medicine at East Carolina University in 1991, 35 years ago. Accepts Medicare assignment. Licensed in South Carolina.
- Years since qualifying
- 35
- Trained at
- Brody School of Medicine at East Carolina University
- Licensed in
- SC
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2683 Lake Park DrNorth Charleston, SC 29406-9100
Phone: (843) 518-5000
Fax: (843) 614-8959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic and Reconstructive Surgery Physician (primary) | Taxonomy 2086S0122X · Licence 20096 (SC) |
|---|
Record details
| NPI number | 1265481543 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 6, 2006 |
| Last updated in NPPES | April 3, 2017 |
Medicare enrollment
| Medicare specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
|---|---|
| Medical school | BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY |
| Graduated | 1991 (35 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in North Charleston
-
Port City Plastic Surgery, LLC
2683 Lake Park Dr, North Charleston, SC 29406-9100 · (843) 518-5000