Vascular Medicine And Wound Management Clinic

LBN: Roper Hospital, Inc.
Vascular Medicine And Wound Management Clinic is an health care organization with primary practice located at 300 Callen Blvd Ste 220 , Summerville SC 29486-2816. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as the primary health care specialty. Roper Hospital, Inc. can be contacted via phone (843) 724-2289, or through Jackson, William Anthony via phone (843) 724-2954.

Contact Information

Primary practice address
300 Callen Blvd Ste 220 Summerville SC 29486-2816
Phone: (843) 724-2289
Fax: (843) 606-8038
Website:
Map and Directions
Authorized official contact:
Name: Jackson, William Anthony
Phone: (843) 724-2954

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X South Carolina

Profile Details

NPI number 1205388618
LBN Legal business name Roper Hospital, Inc.
DBA Doing business as Vascular Medicine And Wound Management Clinic
Authorized official Jackson, William Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2016
Last updated Mar 17th, 2024 - about last year

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 1205388618 NPPES
South Carolina MEDICAID GP7573

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