Southeastern Health Care Group LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

SOUTHEASTERN HEALTH CARE GROUP LLC

Practice address

6727 Wingard St
Columbia, SC 29209-1741

Phone

(803) 521-8157

NPI assigned

Aug 8, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wilhelmenia C Williams

Title

Owner Operator

Phone

(803) 521-8157

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1780367649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 WINGARD ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091741",
            "telephone_number": "803-521-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 WINGARD ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091741",
            "telephone_number": "803-521-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN HEALTH CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WILHELMENIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "803-521-8157",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joel Allyn Southerlin II, LISW-CP
• Southern Cardiac Imaging, LLC

• Oxygen Equipment & Supplies (DME) in Columbia, SC
• Providers in Columbia, SC by specialty
• Oxygen Equipment & Supplies (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.