Wound Solutions Of Georgia Llc | |
7702b Hampton Pl Loganville GA 30052-6770 | |
(770) 265-1053 | |
Not Available |
Full Name | Wound Solutions Of Georgia Llc |
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Speciality | Clinic/Center |
Location | 7702b Hampton Pl, Loganville, Georgia |
Authorized Official Name and Position | Jameel Ahmad Brown (CEO) |
Authorized Official Contact | 4108301836 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wound Solutions Of Georgia Llc 7702b Hampton Pl Loganville GA 30052-6770 Ph: (770) 265-1053 | Wound Solutions Of Georgia Llc 7702b Hampton Pl Loganville GA 30052-6770 Ph: (770) 265-1053 |
NPI Number | 1750132072 |
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Provider Enumeration Date | 03/27/2024 |
Last Update Date | 03/27/2024 |
Medicare PECOS PAC ID | 3779022504 |
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Medicare Enrollment ID | O20240826000496 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750132072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Emily Louise Othold |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306538426 PECOS PAC ID: 3577922277 Enrollment ID: I20230628003155 |
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