# NATIONAL TELEWOUND CARE

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

## Provider details

- **NPI number:** 1942552146
- **Authorized official:** DIANE ALEXANDER (SECRETARY)
- **Authorized official phone:** (678) 371-2204

## Contact information

- **Practice address:** 374 OSPREY PT, STONE MOUNTAIN, GA 30087-6163
- **Practice address phone:** (678) 404-5631
- **Practice address fax:** (877) 210-5143
- **Mailing address:** 374 OSPREY PT, STONE MOUNTAIN, GA 30087-6163
- **Mailing address phone:** (678) 404-5631
- **Mailing address fax:** (877) 210-5143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 033908 | GA | Yes |

## Other

- **Enumeration date:** 10/11/2012
- **Last updated:** 10/19/2012