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Organization
INSIDE OUT ADVANCED WOUND CARE LLC
Active
Organization
INSIDE OUT ADVANCED WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA BOWEN (CREDENTIALING)
(615) 504-1984
Entity
Organization
Contact information
Practice address
1 BALTIMORE PL NW STE 400, ATLANTA, GA 30308-2117
(404) 680-2653
Mailing address
1 BALTIMORE PL NW STE 400, ATLANTA, GA 30308-2117
(404) 680-2653
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
06/19/2026
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