Organization
MARTIN WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY JONES MACC (BILLING DIRECTOR)
(256) 505-6826
Entity
Organization
Contact information
Practice address
11491 US HIGHWAY 431, ALBERTVILLE, AL 35950-0136
(256) 505-6826
(256) 571-2862
Mailing address
5903 SPRING CIR, GUNTERSVILLE, AL 35976-2811
(256) 505-6826
(256) 571-2862
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238173
—
AL
01
—
2796
GROUP MEDICARE NUMBER
AL
Enumeration date
08/20/2019
Last updated
08/28/2020
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