Choice Wound Care | |
119 S Oak Ste 2a Raymond MS 39154-4205 | |
(769) 206-1458 | |
Not Available |
Full Name | Choice Wound Care |
---|---|
Speciality | Clinic/Center |
Location | 119 S Oak Ste 2a, Raymond, Mississippi |
Authorized Official Name and Position | James Mcgee (OWNER) |
Authorized Official Contact | 7692571047 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Choice Wound Care Po Box 664 Raymond MS 39154-0664 Ph: (601) 915-2095 | Choice Wound Care 119 S Oak Ste 2a Raymond MS 39154-4205 Ph: (769) 206-1458 |
NPI Number | 1497535124 |
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Provider Enumeration Date | 10/02/2023 |
Last Update Date | 09/18/2024 |
Medicare PECOS PAC ID | 0648628404 |
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Medicare Enrollment ID | O20231205000659 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497535124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Dodie D Mcgee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124522909 PECOS PAC ID: 0143656298 Enrollment ID: I20200210000665 |
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