Organization
WOUND CARE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA WILLIAMS (PROVIDER)
(404) 502-2070
Entity
Organization
Contact information
Practice address
3000 KEENAN RD, COLLEGE PARK, GA 30349-4644
(404) 502-2070
Mailing address
3000 KEENAN RD, COLLEGE PARK, GA 30349-4644
(404) 502-2070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN056087
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000808343C
—
GA
Enumeration date
06/05/2008
Last updated
06/05/2008
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