National Provider Identifier Database

GRAND STRAND MOBILE WOUND CARE
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

GRAND STRAND MOBILE WOUND CARE
1297 PROFESSIONAL DR STE 201
MYRTLE BEACH, SC29577-5713
Phone: 803-999-6863
Fax: 855-834-3003
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for GRAND STRAND MOBILE WOUND CARE

NPI Number 1508670837
Legal business name
LBN
GRAND STRAND MOBILE WOUND CARE
Authorized official JEFFREY HATHWAY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/06/2025
Last updated 02/06/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for GRAND STRAND MOBILE WOUND CARE

There are currently no reviews for GRAND STRAND MOBILE WOUND CARE


NPIdb - Home
v2.201