| Wound Care Clinic Esu Inc | |
|
509 Lake Rd Dyersburg TN 38024-3877 | |
| (731) 287-0804 | |
| (731) 287-7373 |
| Full Name | Wound Care Clinic Esu Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 509 Lake Rd, Dyersburg, Tennessee |
| Authorized Official Name and Position | Susan G Davis (OWNER) |
| Authorized Official Contact | 7312870804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Care Clinic Esu Inc 509 Lake Rd Dyersburg TN 38024-3877 Ph: (731) 287-0804 | Wound Care Clinic Esu Inc 509 Lake Rd Dyersburg TN 38024-3877 Ph: (731) 287-0804 |
| NPI Number | 1922074491 |
|---|---|
| Provider Enumeration Date | 02/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922074491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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