Organization
ELITE WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNI CLEMMONS (CREDENTIALING)
(901) 351-1791
Entity
Organization
Contact information
Practice address
1365 FLOWERING DOGWOOD LN STE F, DYERSBURG, TN 38024-2884
(731) 777-9797
Mailing address
1365 FLOWERING DOGWOOD LN STE F, DYERSBURG, TN 38024-2884
(731) 777-9797
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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