# EAMC THE WOUND TREATMENT CENTER

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

## Provider details

- **NPI number:** 1750434452
- **Authorized official:** MR. CHRISTOPHER M CLARK (DIRECTOR - ONCOLOGY SVC & WOUND CTR)
- **Authorized official phone:** (334) 528-2309

## Contact information

- **Practice address:** 2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
- **Practice address phone:** (334) 528-2319
- **Practice address fax:** (334) 528-2320
- **Mailing address:** 2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
- **Mailing address phone:** (334) 528-2319
- **Mailing address fax:** (334) 528-2320

## Taxonomy

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

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010029 | BLUE CROSS - BLUE SHIELD | AL |