Individual
GLENN L WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1264 RIBAUT ROAD, BLDG 200, BEAUFORT, SC 29902
(843) 524-5455
(843) 524-5655
Mailing address
PO BOX 357, RIDGELAND, SC 29936-2605
(843) 987-7400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15977
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3884
—
SC
Enumeration date
05/23/2006
Last updated
04/30/2025
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