Zwound Care | |
1126 Country Club Road Mccomb MS 39648 | |
(601) 250-0162 | |
(601) 250-0139 |
Full Name | Zwound Care |
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Speciality | Family Medicine |
Location | 1126 Country Club Road, Mccomb, Mississippi |
Authorized Official Name and Position | Glenn Zeidman (MEDICAL PHYSICIAN) |
Authorized Official Contact | 6012500162 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Zwound Care 1126 Country Club Road Mccomb MS 39648 Ph: (601) 250-0139 | Zwound Care 1126 Country Club Road Mccomb MS 39648 Ph: (601) 250-0162 |
NPI Number | 1891096236 |
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Provider Enumeration Date | 11/16/2010 |
Last Update Date | 06/29/2016 |
Medicare PECOS PAC ID | 8921296492 |
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Medicare Enrollment ID | O20101228000305 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891096236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Glenn E Zeidman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023067360 PECOS PAC ID: 5294786687 Enrollment ID: I20050202000948 |
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