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Organization
EAMC THE WOUND TREATMENT CENTER
Active
Organization
EAMC THE WOUND TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER M CLARK (DIRECTOR - ONCOLOGY SVC & WOUND CTR)
(334) 528-2309
Entity
Organization
Contact information
Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-2319
(334) 528-2320
Mailing address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-2319
(334) 528-2320
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010029
BLUE CROSS - BLUE SHIELD
AL
Enumeration date
01/18/2007
Last updated
08/22/2020
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