Organization
RENEW WOUND CARE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORAL KIRSCHER (OWNER)
(704) 310-1043
Entity
Organization
Contact information
Practice address
18805 W CATAWBA AVE STE 205A, CORNELIUS, NC 28031-4609
(704) 612-0011
Mailing address
18805 W CATAWBA AVE STE 205A, CORNELIUS, NC 28031-4609
(704) 612-0011
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
08/21/2024
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