American Wound Care Centers | |
5055 Maryland Way Ste 100 Brentwood TN 37027-7665 | |
(615) 229-7202 | |
Not Available |
Full Name | American Wound Care Centers |
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Speciality | Family Medicine |
Location | 5055 Maryland Way Ste 100, Brentwood, Tennessee |
Authorized Official Name and Position | Ethan Kellum (OWNER) |
Authorized Official Contact | 9014840837 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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American Wound Care Centers 5055 Maryland Way Ste 100 Brentwood TN 37027-7665 Ph: () - | American Wound Care Centers 5055 Maryland Way Ste 100 Brentwood TN 37027-7665 Ph: (615) 229-7202 |
NPI Number | 1306585500 |
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Provider Enumeration Date | 06/03/2022 |
Last Update Date | 06/03/2022 |
Medicare PECOS PAC ID | 0648650853 |
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Medicare Enrollment ID | O20220706001930 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306585500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
Provider Name | Hemal V Mehta |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1174533772 PECOS PAC ID: 7719935956 Enrollment ID: I20050105000169 |
Provider Name | Deborah Upchurch Howard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306139365 PECOS PAC ID: 9638348295 Enrollment ID: I20110816000618 |
Provider Name | Casey Erin Ingle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366786428 PECOS PAC ID: 3870890221 Enrollment ID: I20160330000104 |
Provider Name | Allison Marie Mcginty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225421142 PECOS PAC ID: 7810296704 Enrollment ID: I20160427001296 |
Provider Name | Ethan Kellum |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1396907705 PECOS PAC ID: 5092958199 Enrollment ID: I20161205000206 |
Provider Name | Jennifer Salamone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326799347 PECOS PAC ID: 6305228081 Enrollment ID: I20220727002086 |
Provider Name | Stephanie L Dyle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578249959 PECOS PAC ID: 8426418401 Enrollment ID: I20230721003399 |
Provider Name | Brittany Jordan Ferguson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225720915 PECOS PAC ID: 0749642221 Enrollment ID: I20230815003500 |
Provider Name | Ashley Dawn Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386322774 PECOS PAC ID: 4082059811 Enrollment ID: I20240301003033 |
Provider Name | Morgan Elizabeth Parton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629834254 PECOS PAC ID: 9234578089 Enrollment ID: I20240412003571 |
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