Organization · Type 2 NPI

Roper Hospital Inc.

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · North Charleston, SC

NPI number 1104563758 Active

Practice location

8950 University Blvd, Ste 300
North Charleston, SC 29406-9889

Call (843) 724-2289 Map

Fax (843) 606-8038

Mailing address

PO Box 751649
Charlotte, NC 28275-1649

Specialties and licenses

Taxonomy	Code	License
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Primary	2083P0011X	None listed

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician: A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards …

5 other providers at this address

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NPI record

NPI: 1104563758
Entity type: Organization (Type 2)
Issued: May 16, 2022
Last updated: Mar 17, 2024
Status: Active

Other names

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Vascular Medicine and Wound Management Clinic · doing business as
Vascular Medicine and Wound Management Clinic · doing business as

Authorized official

Kimberly M Ralston
Director
(419) 996-5119

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104563758

Roper Hospital Inc.'s National Provider Identifier is 1104563758, issued on May 16, 2022. The primary taxonomy on file is Undersea and Hyperbaric Medicine (Preventive Medicine) Physician (2083P0011X), and the practice location is in North Charleston, SC. The record was last updated on Mar 17, 2024.