Organization
HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA, LLC
Active
Parent organization
HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA, LLC
Other names
Upstate Wound Care by Healogics
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA, LLC
Authorized official
FRANK WILLIAMS (CEO)
(904) 446-3519
Entity
Organization
Contact information
Practice address
1630 SKYLYN DRIVE, SUITE 420, SPARTANBURG, SC 29307
(904) 446-3825
Mailing address
PO BOX 638509, CINCINNATI, OH 45263-8509
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7200
—
SC
Enumeration date
06/13/2019
Last updated
06/01/2023
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