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Brent Jerome Wilkerson, MD
Otology & Neurotology Physician in Greenville, South Carolina
NPI 1407167489

Brent Jerome Wilkerson is a Otology & Neurotology Physician based in Greenville, SC and is specialized in Otology & Neurotology. Brent Jerome Wilkerson practices in Greenville, SC and has the professional credentials of MD. The NPI Number for Brent Jerome Wilkerson is 1407167489 and holds a License No. 4301108235 (South Carolina).

The current practice location address for Brent Jerome Wilkerson is 200 Patewood Dr Ste B400, Greenville, SC and can be reached out via phone at 864-454-4368 and via fax at 864-241-9232.

Location: 200 Patewood Dr Ste B400, Greenville, SC, 29601-2842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407167489
Provider Name
Brent Jerome Wilkerson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Patewood Dr Ste B400, Greenville, SC, 29601-2842
Phone Number
864-454-4368
Fax Number
864-241-9232
Provider Enumeration Date
06/24/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
866833 05 SC
institution
Provider Business Practice Location Address Details
Address
200 Patewood Dr Ste B400
City
Greenville
State
South Carolina
Zip
29615-6306
Phone Number
864-454-4368
Fax Number
864-241-9232
person
Provider Business Mailing Address Details
Address
200 Patewood Dr Ste B400
City
Greenville
State
South Carolina
Zip
29615-6306
Phone Number
864-454-4368
Fax Number
864-241-9232
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otology & Neurotology
Taxonomy
207YX0901X
License No.
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Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301108235 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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