Organization
SMOKY MOUNTAIN WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL ORTEN (PRESIDENT)
(865) 415-8386
Entity
Organization
Contact information
Practice address
2169 KIRKWALL DR, NOLENSVILLE, TN 37135-2001
(865) 415-8386
Mailing address
2169 KIRKWALL DR, NOLENSVILLE, TN 37135-2001
(865) 415-8386
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/16/2024
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