SKYLYN WELLNESS CENTER INC. NPI 1124124185

NPI Information

  • NPI: 1124124185
  • Provider Name: SKYLYN WELLNESS CENTER, INC.
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 1770 SKYLYN DR
    SPARTANBURG, SC
    ZIP 29307
  • Phone: (864) 583-8308

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NPI Details

SKYLYN WELLNESS CENTER, INC. is an interventional pain medicine pain medicine in Spartanburg, SC. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. SKYLYN WELLNESS CENTER, INC. NPI is 1124124185. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1770 SKYLYN DR
SPARTANBURG, SC
ZIP 29307-045
Phone: (864) 583-8308
Fax: (864) 583-8358

The provider's authorized official is John V Dawidowicz .
The authorized official title is President and has the following contact phone number (864) 583-8308.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 8/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2495SOUTH CAROLINANo
2207Q00000XFamily MedicineNo
3367500000XNurse Anesthetist, Certified Registered3647SOUTH CAROLINANo
4208VP0014XPain MedicineInterventional Pain Medicine14638SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GCH324MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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