Organization
WOUND CARE CLINIC ESU, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA KREISSLER (PRESIDENT)
(912) 998-0040
Entity
Organization
Contact information
Practice address
1000 TOWNE CENTER BLVD, SUITE 705, POOLER, GA 31322-4052
(912) 998-0040
(912) 998-0041
Mailing address
1000 TOWNE CENTER BLVD, SUITE 705, POOLER, GA 31322-4052
(912) 998-0040
(912) 998-0041
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
3118839999
GA
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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