Healthcare Provider Details
I. General information
NPI: 1467376962
Provider Name (Legal Business Name): LOWCOUNTRY WOUND CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
57 OYSTER LANDING LN
HILTON HEAD ISLAND SC
29928-3045
US
IV. Provider business mailing address
57 OYSTER LANDING LN
HILTON HEAD ISLAND SC
29928-3045
US
V. Phone/Fax
- Phone: 203-297-3246
- Fax:
- Phone: 203-297-3246
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KEITH
ZUCCALA
Title or Position: OWNER
Credential: MD
Phone: 203-297-3246