Wound Pros South Carolina | |
528 Broad St Ste 102 Sumter SC 29150-3368 | |
(323) 480-4075 | |
Not Available |
Full Name | Wound Pros South Carolina |
---|---|
Speciality | General Practice |
Location | 528 Broad St Ste 102, Sumter, South Carolina |
Authorized Official Name and Position | Owen Bernardo Ellington (PRESIDENT) |
Authorized Official Contact | 7133044227 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wound Pros South Carolina 5901 W Century Blvd Ste 750 Los Angeles CA 90045-5443 Ph: (323) 480-4075 | Wound Pros South Carolina 528 Broad St Ste 102 Sumter SC 29150-3368 Ph: (323) 480-4075 |
NPI Number | 1598482937 |
---|---|
Provider Enumeration Date | 10/26/2022 |
Last Update Date | 10/26/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598482937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Sumter Internal Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12 Barnette Dr, Sumter, SC 29150 Phone: 803-773-5442 Fax: 803-778-2394 | |
Colonial Family Practice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Broad St Ste 200, Sumter, SC 29150 Phone: 803-773-5227 Fax: 803-418-0202 | |
Invostix Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 E Wesmark Blvd Ste 2, Sumter, SC 29150 Phone: 803-757-1238 | |