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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