Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Integrated Wound Care South Carolina LLC

Organization General Practice Physician · NPI 1235823121

Integrated Wound Care South Carolina LLC provides General Practice Physician services in Columbia, South Carolina. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1703 Laurel St
Columbia, SC 29201-2660
Phone: (718) 963-3495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1235823121
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Lusas — Authorized Official · (718) 963-3495
NPI enumeratedJune 5, 2023
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address492c Cedar Ln Ste 514, Teaneck, NJ 07666-1713

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