Organization
GEORGIA WOUNDCARE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHORE RASAMALLU MD (MD/OWNER)
(210) 379-8553
Entity
Organization
Contact information
Practice address
1165 SANDERS RD, CUMMING, GA 30041-5965
(210) 379-8553
Mailing address
8000 AVALON BLVD STE 100, ALPHARETTA, GA 30009-2469
(210) 379-8553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
03/30/2025
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