Bruce H Wellmon Dpm Pa
LBN: Bruce H Wellmon Dpm Pa
Bruce H Wellmon Dpm Pa is an health care organization with primary practice located at 101 Professional Park , Gaffney SC 29340-2319. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty.
Bruce H Wellmon Dpm Pa can be contacted via phone (864) 487-5516, or through Wellmon, Bruce H via phone (864) 487-5516.
Contact Information
Primary practice address
101 Professional Park
Gaffney SC 29340-2319
Phone: (864) 487-5516
Fax: (864) 487-3477
Website:
Authorized official contact:
Name: Wellmon, Bruce H Doctor of Podiatric Medicine (DPM)
Phone: (864) 487-5516
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 86 | South Carolina |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 216 | North Carolina |
Profile Details
| NPI number | 1780677682 |
|---|---|
| LBN Legal business name | Bruce H Wellmon Dpm Pa |
| DBA Doing business as | |
| Authorized official | Wellmon, Bruce H Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Aug 29th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780677682 | NPPES |
| South Carolina | MEDICAID | GP9937 |
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