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Contact Information

BRUCE H WELLMON DPM PA
101 PROFESSIONAL PARK
GAFFNEY, SC29340-2319
 Phone: 864-487-5516
 Fax: 864-487-3477
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRUCE H WELLMON DPM PA

NPI # 1780677682
LBN Legal business name BRUCE H WELLMON DPM PA
Authorized official BRUCE WELLMON - (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date 08/25/2005
Last updated 08/29/2022 - About 4 years ago
Identifiers
NC License # 216
SC License # 86
SC Medicaid GP9937
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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