| Dynamic Wound Care of South Carolina LLC | |
|
324 N Pine St Spartanburg SC 29302-1631 | |
| (305) 901-5055 | |
| Not Available |
| Full Name | Dynamic Wound Care of South Carolina LLC |
|---|---|
| Speciality | General Practice |
| Location | 324 N Pine St, Spartanburg, South Carolina |
| Authorized Official Name and Position | Kirill Filatov (CFO) |
| Authorized Official Contact | 3059015055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Wound Care of South Carolina LLC 324 N Pine St Spartanburg SC 29302-1631 Ph: (305) 901-5055 | Dynamic Wound Care of South Carolina LLC 324 N Pine St Spartanburg SC 29302-1631 Ph: (305) 901-5055 |
| NPI Number | 1821961962 |
|---|---|
| Provider Enumeration Date | 09/25/2025 |
| Last Update Date | 02/12/2026 |
| Certification Date | 02/12/2026 |
| Medicare PECOS PAC ID | 7517447451 |
|---|---|
| Medicare Enrollment ID | O20260218002499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821961962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
| Provider Name | David R Erb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952366478 PECOS PAC ID: 6002874740 Enrollment ID: I20041228000366 |
| Provider Name | Dana Renee Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295494441 PECOS PAC ID: 4082091327 Enrollment ID: I20220506001444 |
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