| Heal All Wound Care Llc | |
|
660 Lakeland East Dr Ste 210 Flowood MS 39232-9777 | |
| (601) 665-4162 | |
| (855) 830-3484 |
| Full Name | Heal All Wound Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 660 Lakeland East Dr Ste 210, Flowood, Mississippi |
| Authorized Official Name and Position | John C Duke (COO) |
| Authorized Official Contact | 0166654162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heal All Wound Care Llc 215 Katherine Dr Ste A Flowood MS 39232-9588 Ph: (601) 665-4162 | Heal All Wound Care Llc 660 Lakeland East Dr Ste 210 Flowood MS 39232-9777 Ph: (601) 665-4162 |
| NPI Number | 1093554982 |
|---|---|
| Provider Enumeration Date | 05/21/2024 |
| Last Update Date | 12/23/2024 |
| Medicare PECOS PAC ID | 8123561966 |
|---|---|
| Medicare Enrollment ID | O20240620002989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093554982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cassandra Amos Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356856561 PECOS PAC ID: 0446513642 Enrollment ID: I20180423002197 |
Baptist Medical Clinic - Convenient Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5341 Lakeland Dr, Flowood, MS 39232 Phone: 601-919-2173 Fax: 601-919-9723 | |
Diabetes And Endocrine Institute Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2610 Courthouse Cir, Flowood, MS 39232 Phone: 601-932-1223 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 Lakeland Pl, Flowood, MS 39232 Phone: 601-992-2200 | |
Psyclinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2540 Flowood Dr, Suite A, Flowood, MS 39232 Phone: 601-939-5993 Fax: 601-939-5935 | |
Gastrointestinal Associates, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2510 Lakeland Dr, Flowood, MS 39232 Phone: 601-355-1234 Fax: 601-326-3566 | |
Patriot Healthcare Of Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4800 Lakeland Drive, Flowood, MS 39232 Phone: 228-563-4787 |