1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. General Practice
  6. NPI Profile

INTEGRATED WOUND CARE SOUTH CAROLINA LLC
NPI 1235823121
General Practice in Columbia, SC

Active since June 05, 2023
1703 LAUREL ST, COLUMBIA, SC 29201(718) 963-3495 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrated Wound Care South Carolina Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED WOUND CARE SOUTH CAROLINA LLC (NPI 1235823121) is a healthcare organization registered as a general practice in Columbia, South Carolina and active in the NPI registry since June 2023. The organization lists Diane Lusas, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1235823121
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTEGRATED WOUND CARE SOUTH CAROLINA LLC
Location Address1703 LAUREL STColumbia, SC 29201-2660
Mailing Address492c Cedar Ln Ste 514Teaneck, NJ 07666-1713 · (718) 963-3495
Phone(718) 963-3495
Organization SubpartNo
Authorized OfficialDiane LusasAuthorized Official · (718) 963-3495
Enumeration DateJune 5, 2023
NPPES CertifiedJune 5, 2023
✔ NPI 1235823121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1703 LAUREL ST, Columbia, SC 29201
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FREEMAN DENTISTRY OF SOUTH CAROLINA LLC
Dentist
1703 LAUREL ST
COLUMBIA, SC 29201
Richland County (502) 244-2420
TIFFANY LYNETTE GLISSON LCSW
Social Worker (Clinical)
1703 LAUREL ST
COLUMBIA, SC 29201
Richland County (855) 743-2247
HOLLY RACHELLE TYRPAK BARD DNP, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1703 LAUREL ST
COLUMBIA, SC 29201
Richland County (844) 330-7799
360CARE LLC
Dentist (General Practice)
1703 LAUREL ST
COLUMBIA, SC 29201
Richland County (502) 244-2420
360CARE LLC
Optometrist
1703 LAUREL ST
COLUMBIA, SC 29201
Richland County (502) 244-2420
360CARE LLC
Nurse Practitioner
1703 LAUREL ST
COLUMBIA, SC 29201
Richland County (502) 244-2420
VITAE HEALTH MEDICAL SOUTH CAROLINA LLC
Internal Medicine
1703 LAUREL ST
COLUMBIA, SC 29201
Richland County (224) 777-8034
PALMETTO MOBILE DENTAL CENTERS LLC
Dentist
1703 LAUREL ST
COLUMBIA, SC 29201
Richland County (615) 225-0945

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Wound Care South Carolina LLC's NPI number?

The NPI number for Integrated Wound Care South Carolina LLC is 1235823121. It was assigned to this organization in the NPPES registry on June 5, 2023.

Where is Integrated Wound Care South Carolina LLC located?

Integrated Wound Care South Carolina LLC is located at 1703 Laurel St, Columbia, SC 29201. The listed phone number is (718) 963-3495.

What is Integrated Wound Care South Carolina LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Integrated Wound Care South Carolina LLC was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.