Wound Care Solutions Of Tennessee, Llc | |
611 S Washington St Maryville TN 37804-5805 | |
(770) 714-9292 | |
Not Available |
Full Name | Wound Care Solutions Of Tennessee, Llc |
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Speciality | General Practice |
Location | 611 S Washington St, Maryville, Tennessee |
Authorized Official Name and Position | Daniel H James (CO-OWNER) |
Authorized Official Contact | 7707149292 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wound Care Solutions Of Tennessee, Llc 611 S Washington St Maryville TN 37804-5805 Ph: (770) 714-9292 | Wound Care Solutions Of Tennessee, Llc 611 S Washington St Maryville TN 37804-5805 Ph: (770) 714-9292 |
NPI Number | 1033968433 |
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Provider Enumeration Date | 05/16/2024 |
Last Update Date | 05/16/2024 |
Medicare PECOS PAC ID | 8224577671 |
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Medicare Enrollment ID | O20240829000238 |
Identifier | Type | State | Issuer |
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1033968433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Donna K Brantley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275926255 PECOS PAC ID: 3476865924 Enrollment ID: I20150713000072 |
Provider Name | Melissa C Ambler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386033652 PECOS PAC ID: 8123346715 Enrollment ID: I20240416003741 |
Michael Wall, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 362 High St, Maryville, TN 37804 Phone: 865-413-1589 Fax: 865-205-9475 | |
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