Wound Integrity Pc | |
2295 Ronald Reagan Pkwy Snellville GA 30078-5654 | |
(770) 982-2331 | |
(770) 972-4104 |
Full Name | Wound Integrity Pc |
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Speciality | Internal Medicine |
Location | 2295 Ronald Reagan Pkwy, Snellville, Georgia |
Authorized Official Name and Position | Han Ngoc Pham (CEO) |
Authorized Official Contact | 2142741507 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wound Integrity Pc 100 Crescent Ct Ste 700 Dallas TX 75201-2112 Ph: (512) 202-3830 | Wound Integrity Pc 2295 Ronald Reagan Pkwy Snellville GA 30078-5654 Ph: (770) 982-2331 |
NPI Number | 1861869141 |
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Provider Enumeration Date | 08/21/2015 |
Last Update Date | 08/21/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861869141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 74705 (Georgia) | Primary |
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