| Advanced Mobile Wound Care, LLC | |
|
56 Pointe Cir Ste 100 Greenville SC 29615-3506 | |
| (888) 459-6863 | |
| Not Available |
| Full Name | Advanced Mobile Wound Care, LLC |
|---|---|
| Speciality | General Practice |
| Location | 56 Pointe Cir Ste 100, Greenville, South Carolina |
| Authorized Official Name and Position | Elliot Hirshorn (OWNER) |
| Authorized Official Contact | 8648814595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Mobile Wound Care, LLC 56 Pointe Cir Ste 100 Greenville SC 29615-3506 | Advanced Mobile Wound Care, LLC 56 Pointe Cir Ste 100 Greenville SC 29615-3506 Ph: (888) 459-6863 |
| NPI Number | 1790523116 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Medicare PECOS PAC ID | 1557894524 |
|---|---|
| Medicare Enrollment ID | O20241029003063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790523116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
| Provider Name | Trishia Lynn Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225775380 PECOS PAC ID: 6305216870 Enrollment ID: I20221227000482 |
| Provider Name | Gloria Teal Britt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770315301 PECOS PAC ID: 1557893336 Enrollment ID: I20241017002976 |
| Provider Name | Madison Haley Nicksic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609602275 PECOS PAC ID: 4284163551 Enrollment ID: I20250131000385 |
| Provider Name | Eric Hans Gruenberger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174975734 PECOS PAC ID: 8628451317 Enrollment ID: I20250422003754 |
| Provider Name | Yaima Fonseca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225854094 PECOS PAC ID: 0446758833 Enrollment ID: I20250814000699 |
World Upside Down Arts Studio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Woodruff Rd Ste H7, Greenville, SC 29607 Phone: 407-401-1568 |
Anmed Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1607 Laurens Rd Ste 112, Greenville, SC 29607 Phone: 864-807-9020 Fax: 864-807-9021 |
Cooke's Continence Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330-c Pelham Road, Suite B-102, Greenville, SC 29615 Phone: 864-412-8424 Fax: 864-412-8012 |
Midtown Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Pointe Cir, Greenville, SC 29615 Phone: 864-525-5400 |
Center for Adult and Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Tanner Rd, Greenville, SC 29607 Phone: 864-627-1220 Fax: 864-627-1221 |
Greenville Functional Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Halton Rd, Suite A, Greenville, SC 29607 Phone: 864-558-0200 Fax: 864-520-1245 |