Organization
WOUND CARE CLINIC SD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN G DAVIS (OWNER)
(731) 664-8400
Entity
Organization
Contact information
Practice address
250 N PARKWAY, JACKSON, TN 38305-2735
(731) 664-8400
(731) 664-8430
Mailing address
250 N PARKWAY, JACKSON, TN 38305-2742
(731) 664-8400
(731) 664-8430
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/24/2006
Last updated
08/22/2020
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