Organization
HEALISTIC WOUND CARE MANAGEMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILLERY DOLFORD (OWNER)
(843) 992-2754
Entity
Organization
Contact information
Practice address
2724 W PALMETTO ST STE 12, FLORENCE, SC 29501-4909
(843) 992-2754
Mailing address
2724 W PALMETTO ST STE 12, FLORENCE, SC 29501-4909
(843) 992-2754
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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