Organization
WOUND CARE CONTRACTORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK GRANTHAM MD (OWNER)
(318) 286-2781
Entity
Organization
Contact information
Practice address
444 KINGSTON PLANTATION BLVD, BENTON, LA 71006-3404
(318) 272-6847
(318) 900-7828
Mailing address
444 KINGSTON PLANTATION BLVD, BENTON, LA 71006-3404
(318) 286-2781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
11/06/2023
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