Organization
WOUND CARE & HYPERBARIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GILLIAM (CREDENTIALING COORDINATOR)
(404) 447-0966
Entity
Organization
Contact information
Practice address
6000 HILLANDALE DR, SUITE 150, LITHONIA, GA 30058-4840
(770) 778-7009
Mailing address
1227 ROCKBRIDGE RD, SUITE 208-82, STONE MOUNTAIN, GA 30087-3064
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
GA
Other
Enumeration date
12/03/2016
Last updated
12/05/2016
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