Organization
WOUND CARE CLINIC-TN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN G DAVIS (OWNER)
(870) 236-2600
Entity
Organization
Contact information
Practice address
1910 MOCKINGBIRD LN, PARAGOULD, AR 72450-5806
(870) 236-2600
(870) 236-3314
Mailing address
1910 MOCKINGBIRD LN, PARAGOULD, AR 72450-5806
(870) 236-2600
(870) 236-3314
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/24/2006
Last updated
08/22/2020
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