Organization
ADVANCED WOUND CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA A. ATKINS D.O. (OWNER)
(207) 761-0177
Entity
Organization
Contact information
Practice address
1375 CONGRESS ST, PORTLAND, ME 04102-2118
(207) 761-0177
(207) 780-1055
Mailing address
210 WESTERN AVE, SOUTH PORTLAND, ME 04106-2424
(207) 772-1820
(207) 780-1055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
ME
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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