Organization
WIREGRASS WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER G BENZ MD (OWNER/MD)
(334) 699-6863
Entity
Organization
Contact information
Practice address
1908 FAIRVIEW AVE, DOTHAN, AL 36301-3008
(334) 699-6863
(334) 699-6864
Mailing address
PO BOX 9104, DOTHAN, AL 36304-1104
(334) 699-6863
(334) 699-6864
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
03/14/2011
Last updated
03/21/2011
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