# ADVANCED VASCULAR AND WOUND CARE PC

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

## Provider details

- **NPI number:** 1962293084
- **Authorized official:** JUSTIN PARDEN MD (OWNER/AO)
- **Authorized official phone:** (334) 659-4717

## Contact information

- **Practice address:** 104 JOSIE RUN, PRATTVILLE, AL 36066-7362
- **Practice address phone:** (334) 659-4717
- **Mailing address:** 7956 VAUGHN RD STE 165, MONTGOMERY, AL 36116-6819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2025
- **Last updated:** 05/16/2025