# AMENITY WOUND CARE SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376363291
- **Authorized official:** LISA MERKOW (BUSINESS MANAGER)
- **Authorized official phone:** (727) 800-9958

## Contact information

- **Practice address:** 2900 CHAMBLEE TUCKER RD BLDG 14, ATLANTA, GA 30341-4100
- **Practice address phone:** (678) 365-6358
- **Practice address fax:** (855) 552-3776
- **Mailing address:** 2900 CHAMBLEE TUCKER RD BLDG 14, ATLANTA, GA 30341-4100
- **Mailing address phone:** (678) 365-6358
- **Mailing address fax:** (855) 552-3776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | — | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/15/2024
- **Last updated:** 10/15/2024