Organization
SYNERGY WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER STOUT (CREDENTIALING MANAGER)
(337) 315-7927
Entity
Organization
Contact information
Practice address
22 MILLBRANCH RD STE 200, HATTIESBURG, MS 39402-1591
(256) 328-5041
Mailing address
22 MILLBRANCH RD STE 200, HATTIESBURG, MS 39402-1591
(256) 328-5041
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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