Organization
WOUND CARE CLINIC - ESU, INC.
Active
Organization
WOUND CARE CLINIC - ESU, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA KREISSLER (PRESIDENT/CEO)
(912) 272-9494
Entity
Organization
Contact information
Practice address
1000 TOWNE CENTER BLVD, SUITE 705, POOLER, GA 31322-4052
(912) 272-9494
(912) 998-0041
Mailing address
PO BOX 9910, SAVANNAH, GA 31412-0110
(912) 272-9494
(912) 998-0041
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
559348415A
—
GA
Enumeration date
10/11/2005
Last updated
02/16/2012
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