Coastal Wound Care, Llc

LBN: Coastal Wound Care, Llc
Coastal Wound Care, Llc is an health care organization with primary practice located at 2060 Charlie Hall Blvd Ste A , Charleston SC 29414-6066. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Coastal Wound Care, Llc can be contacted via phone (843) 483-0193, or through Gregory, Timothy James Durkan via phone (254) 368-7864.

Contact Information

Primary practice address
2060 Charlie Hall Blvd Ste A Charleston SC 29414-6066
Phone: (843) 483-0193
Fax: (839) 213-4599
Website:
Map and Directions
Authorized official contact:
Name: Gregory, Timothy James Durkan Doctor of Medicine (MD)
Phone: (254) 368-7864

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1811681018
LBN Legal business name Coastal Wound Care, Llc
DBA Doing business as
Authorized official Gregory, Timothy James Durkan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2023
Last updated Jun 7th, 2024 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811681018 NPPES
South Carolina MEDICAID 331297

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