# HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA, LLC
- **Other names:** Upstate Wound Care by Healogics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023677945
- **Legal business name:** HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA, LLC
- **Authorized official:** FRANK WILLIAMS (CEO)
- **Authorized official phone:** (904) 446-3519

## Contact information

- **Practice address:** 1630 SKYLYN DRIVE, SUITE 420, SPARTANBURG, SC 29307
- **Practice address phone:** (904) 446-3825
- **Mailing address:** PO BOX 638509, CINCINNATI, OH 45263-8509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/13/2019
- **Last updated:** 06/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP7200 | — | SC |