| Advanced Wound Care Center | |
|
15243 Greenfield Dr Athens AL 35613-2899 | |
| (256) 216-3505 | |
| (256) 216-3506 |
| Full Name | Advanced Wound Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 15243 Greenfield Dr, Athens, Alabama |
| Authorized Official Name and Position | Sebrina B Holt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2562169648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wound Care Center 15243 Greenfield Dr Athens AL 35613-2899 Ph: (256) 216-3505 | Advanced Wound Care Center 15243 Greenfield Dr Athens AL 35613-2899 Ph: (256) 216-3505 |
| NPI Number | 1366148611 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 01/05/2024 |
| Medicare PECOS PAC ID | 2264806025 |
|---|---|
| Medicare Enrollment ID | O20230316002363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366148611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tracy Lynn Pool |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588690481 PECOS PAC ID: 5890788848 Enrollment ID: I20040406000210 |
| Provider Name | Patrick M Mceldrew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568490415 PECOS PAC ID: 4880916774 Enrollment ID: I20141203002360 |
| Provider Name | Tammy Mcwhirter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710517206 PECOS PAC ID: 4082615828 Enrollment ID: I20200930000304 |
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