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Contact Information

BRENT J WILKERSON, MD
200 PATEWOOD DR STE B400
GREENVILLE, SC29615-6306
 Phone: 864-454-4368
 Fax: 864-241-9232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BRENT J WILKERSON · (Male)

NPI # 1407167489
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2010
Last updated 12/14/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301108235
  • SC License # 86683
  • SC Medicaid 866833
Hospital affiliation(s)
  • GREENVILLE MEMORIAL HOSPITAL - (Acute Care)
    701 GROVE RD
    GREENVILLE, SC 29605
  • HILLCREST MEMORIAL HOSPITAL - (Acute Care)
    729 SOUTH EAST MAIN STREET
    SIMPSONVILLE, SC 29681
  • PATEWOOD MEMORIAL HOSPITAL - (Acute Care)
    175 PATEWOOD DRIVE
    GREENVILLE, SC 29615
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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