# GEM WOUND SPECIALISTS, LLC

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

## Provider details

- **NPI number:** 1689183121
- **Authorized official:** DR. GODFRED EYIAH-MENSAH MD (CEO/MEDICAL DIRECTOR)
- **Authorized official phone:** (814) 419-6863

## Contact information

- **Practice address:** 250 N COLUMBUS BLVD APT 707, PHILADELPHIA, PA 19106-1458
- **Practice address phone:** (814) 419-6863
- **Mailing address:** 250 N COLUMBUS BLVD APT 707, PHILADELPHIA, PA 19106-1458
- **Mailing address phone:** (814) 419-6863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | MD456679 | PA | Yes |

## Other

- **Enumeration date:** 09/27/2017
- **Last updated:** 07/21/2022