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Organization
AMERICAN WOUND CARE CENTERS
Active
Organization
AMERICAN WOUND CARE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN KELLUM MD (OWNER)
(901) 484-0837
Entity
Organization
Contact information
Practice address
5055 MARYLAND WAY STE 100, BRENTWOOD, TN 37027-7665
(615) 229-7202
Mailing address
5055 MARYLAND WAY STE 100, BRENTWOOD, TN 37027-7665
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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