NPI 1235823121

Integrated Wound Care South Carolina LLC

Organisation General Practice Physician Columbia, SC

Practice location

Address: 1703 Laurel St, Columbia, SC 29201-2660
Phone: (718) 963-3495
Mailing address: 492c Cedar Ln STE 514, Teaneck, NJ 07666-1713

Authorised official

Name: Diane Lusas
Title: Authorized Official
Phone: (718) 963-3495

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in South Carolina →

Registry record

NPI: 1235823121
Entity type: Organization
NPI issued: 5 Jun 2023
Record last updated: 5 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.