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Organization
ROPER HOSPITAL, INC.
Active
Organization
ROPER HOSPITAL, INC.
Active
Other names
Vascular Medicine and Wound Management Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A. JACKSON (VP COO)
(843) 839-1201
Entity
Organization
Contact information
Practice address
3508 S LIVE OAK DR STE 200, MONCKS CORNER, SC 29461-8737
(843) 724-2289
(843) 606-8038
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
03/17/2024
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