Organization
LOGOS WOUND CARE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRODERICK HEKKING (MSO)
(864) 481-0935
Entity
Organization
Contact information
Practice address
1200 WOODRUFF RD STE 187 BUILDING A3, GREENVILLE, SC 29607-5730
(801) 712-2075
Mailing address
1200 WOODRUFF RD STE 187, GREENVILLE, SC 29607-5730
(801) 712-2075
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
02/16/2024
Last updated
04/28/2025
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