# WIREGRASS WOUND CARE LLC

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

## Provider details

- **NPI number:** 1578861688
- **Authorized official:** ALEXANDER G BENZ MD (OWNER/MD)
- **Authorized official phone:** (334) 699-6863

## Contact information

- **Practice address:** 1908 FAIRVIEW AVE, DOTHAN, AL 36301-3008
- **Practice address phone:** (334) 699-6863
- **Practice address fax:** (334) 699-6864
- **Mailing address:** PO BOX 9104, DOTHAN, AL 36304-1104
- **Mailing address phone:** (334) 699-6863
- **Mailing address fax:** (334) 699-6864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/14/2011
- **Last updated:** 03/21/2011