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“Plastic And Reconstructive Surgery Physician” (North Charleston, SC)

Location: North Charleston, SC
Taxonomy: Plastic And Reconstructive Surgery Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1265481543 — BRIAN GLENN WIDENHOUSE M.D.
Practice Location Address:
2683 LAKE PARK DR
NORTH CHARLESTON SC
29406-9100
Practice Phone: 843-518-5000
1437385788 — PORT CITY PLASTIC SURGERY, LLC
Practice Location Address:
2683 LAKE PARK DR
NORTH CHARLESTON SC
29406-9100
Practice Phone: 843-518-5000

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