| Wound Pros North Carolina | |
|
5960 Fairview Road Suites 300 & 400 Charlotte NC 28210-3102 | |
| (310) 496-5844 | |
| (323) 433-9177 |
| Full Name | Wound Pros North Carolina |
|---|---|
| Speciality | General Practice |
| Location | 5960 Fairview Road, Charlotte, North Carolina |
| Authorized Official Name and Position | Christopher Ayodele Otiko (PRESIDENT) |
| Authorized Official Contact | 8188362475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Pros North Carolina 4640 Admiralty Way Ste 500 Marina Del Rey CA 90292-6636 Ph: (818) 836-2475 | Wound Pros North Carolina 5960 Fairview Road Suites 300 & 400 Charlotte NC 28210-3102 Ph: (310) 496-5844 |
| NPI Number | 1942824719 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 05/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942824719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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