| Advanced Surgical Wound Center Pllc | |
|
6216 Highland Place Way Ste 102 Knoxville TN 37919-4068 | |
| (865) 549-5151 | |
| (865) 549-5151 |
| Full Name | Advanced Surgical Wound Center Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6216 Highland Place Way Ste 102, Knoxville, Tennessee |
| Authorized Official Name and Position | Lowell L Mccauley (OWNER) |
| Authorized Official Contact | 8655495151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Surgical Wound Center Pllc 3511 Riveredge Cir Knoxville TN 37920-2890 Ph: (865) 549-5151 | Advanced Surgical Wound Center Pllc 6216 Highland Place Way Ste 102 Knoxville TN 37919-4068 Ph: (865) 549-5151 |
| NPI Number | 1225800410 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 11/07/2024 |
| Medicare PECOS PAC ID | 1254778095 |
|---|---|
| Medicare Enrollment ID | O20240328001186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225800410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Lowell L Mccauley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003850280 PECOS PAC ID: 3173541281 Enrollment ID: I20051109000250 |
| Provider Name | Ryan A Unger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891926440 PECOS PAC ID: 8628227568 Enrollment ID: I20121009000340 |
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