Organization
DELTA WOUND CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK E SEWELL MD (MANAGING MEMBER/OWNER)
(662) 721-8877
Entity
Organization
Contact information
Practice address
907 E SUNFLOWER RD, SUITE 102, CLEVELAND, MS 38732-2830
(662) 545-4443
(662) 545-4351
Mailing address
494 HILLCREST CIR, CLEVELAND, MS 38732-2008
(662) 721-8877
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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