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WOUND CARE CLINIC ESU INC NPI 1336479849


NPI Information

NPI: 1336479849
Provider Name: WOUND CARE CLINIC ESU, INC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1000 TOWNE CENTER BLVD
SUITE 705
POOLER, GA
ZIP 31322
Phone: (912) 998-0040
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WOUND CARE CLINIC ESU, INC is a medical specialty clinic center in Pooler, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). WOUND CARE CLINIC ESU, INC NPI is 1336479849. The provider is registered as an organization entity type.

The provider's business location address is:

1000 TOWNE CENTER BLVD
SUITE 705
POOLER, GA
ZIP 31322-052
Phone: (912) 998-0040
Fax: (912) 998-0041

The provider's authorized official is Paula Kreissler .
The authorized official title is President and has the following contact phone number (912) 998-0040.

The enumeration date for this NPI number is 1/5/2010 and was last updated on 1/5/2010.


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
1261QM2500XClinic/CenterMedical Specialty3118839999GEORGIAYes

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: 5/5/2024

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