Organization
COREVITAL WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERDINA HOBSON NP (PRACTICE OWNER)
(404) 549-2505
Entity
Organization
Contact information
Practice address
5835 CAMPBELLTON RD SW STE 103, SOUTH FULTON, GA 30331-8014
(404) 549-2505
Mailing address
5835 CAMPBELLTON RD SW STE 103, SOUTH FULTON, GA 30331-8014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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