Southeast Wound Specialists, Llc
LBN: Southeast Wound Specialists, Llc
Southeast Wound Specialists, Llc is an health care organization with primary practice located at 9302 Medial Plaza Drive Suite A, Charleston SC 29406-9142. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty.
Southeast Wound Specialists, Llc can be contacted via phone (912) 232-9700, or through Gregory, Timothy J. via phone (912) 232-9700.
Contact Information
Primary practice address
9302 Medial Plaza Drive Suite A
Charleston SC 29406-9142
Phone: (912) 232-9700
Fax: (912) 748-0270
Website:
Authorized official contact:
Name: Gregory, Timothy J. Doctor of Medicine (MD)
Phone: (912) 232-9700
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ||
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X |
Profile Details
| NPI number | 1114953742 |
|---|---|
| LBN Legal business name | Southeast Wound Specialists, Llc |
| DBA Doing business as | |
| Authorized official | Gregory, Timothy J. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1114953742 | NPPES |
| South Carolina | MEDICAID | GP4454 | |
| South Carolina | MEDICAID | 013997 |
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