| Elite Wound Care Llc | |
|
1365 Flowering Dogwood Ln Ste F Dyersburg TN 38024-2884 | |
| (731) 777-9797 | |
| Not Available |
| Full Name | Elite Wound Care Llc |
|---|---|
| Speciality | General Practice |
| Location | 1365 Flowering Dogwood Ln Ste F, Dyersburg, Tennessee |
| Authorized Official Name and Position | Sydni Clemmons (CREDENTIALING) |
| Authorized Official Contact | 9013511791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Wound Care Llc 1365 Flowering Dogwood Ln Ste F Dyersburg TN 38024-2884 Ph: (731) 777-9797 | Elite Wound Care Llc 1365 Flowering Dogwood Ln Ste F Dyersburg TN 38024-2884 Ph: (731) 777-9797 |
| NPI Number | 1295554400 |
|---|---|
| Provider Enumeration Date | 10/04/2024 |
| Last Update Date | 10/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295554400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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