Individual
BRIAN CHARLES WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR STE 120, COLUMBIA, SC 29203-6850
(803) 434-8866
(803) 933-3049
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
25MA04822100
NJ
207RG0100X
Gastroenterology Physician
Primary
88567
SC
207RG0100X
Gastroenterology Physician
ME126389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016610900
—
FL
05
—
0496201
—
NJ
01
—
157833
NY MEDICAL LICENSE
NY
01
—
25MA04822100
NJ MEDICAL LICENSE
NJ
01
—
D06118600
NJ CDS REGISTRATION
NJ
01
—
D30036
MD MEDICAL LICENSE
MD
Enumeration date
05/09/2006
Last updated
03/07/2023
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