Organization
SOUTHEAST WOUND SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J. GREGORY M.D. (OWNER)
(912) 232-9700
Entity
Organization
Contact information
Practice address
9302 MEDIAL PLAZA DRIVE, SUITE A, CHARLESTON, SC 29406-9142
(912) 232-9700
(912) 748-0270
Mailing address
PO BOX 1345, SAVANNAH, GA 31402-1345
(912) 232-9700
(912) 748-0270
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013997
—
GA
05
—
GP4454
—
SC
Enumeration date
06/24/2006
Last updated
07/21/2022
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