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Individual

FREDERICK G WENIGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 FORDING ISLAND ROAD, SUITE 200, BLUFFTON, SC 29910
(843) 757-0123
(843) 757-0329
Mailing address
350 FORDING ISLAND ROAD, SUITE 200, BLUFFTON, SC 29910
(843) 757-0123
(843) 757-0329

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
056381
GA
208200000X
Plastic Surgery Physician
Primary
27893
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
205048337
BCBS PROVIDER NUMBER
SC
05
G56381
SC
Enumeration date
10/14/2005
Last updated
04/08/2014
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