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Organization

NEXT LEVEL WOUND CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACEY GLEN BANIS DNP (OWNER)
(843) 909-0198
Entity
Organization

Contact information

Practice address
626 FIELD CREEK RD, RUFFIN, SC 29475-4144
(843) 909-0198
(843) 790-1754
Mailing address
626 FIELD CREEK RD, RUFFIN, SC 29475-4144
(843) 909-0198
(843) 790-1754

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
02/13/2026
Last updated
02/13/2026
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