| Southern Mobile Wound Care | |
|
5804 Monroe Rd Ste C Charlotte NC 28212-6183 | |
| (385) 499-5535 | |
| Not Available |
| Full Name | Southern Mobile Wound Care |
|---|---|
| Speciality | General Practice |
| Location | 5804 Monroe Rd Ste C, Charlotte, North Carolina |
| Authorized Official Name and Position | Mikhail Le Roux (CEO/FOUNDER) |
| Authorized Official Contact | 3854995535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Mobile Wound Care 128 Columbus St Apt 303 Charleston SC 29403-4868 Ph: (385) 499-5535 | Southern Mobile Wound Care 5804 Monroe Rd Ste C Charlotte NC 28212-6183 Ph: (385) 499-5535 |
| NPI Number | 1730903675 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730903675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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