Organization
PREMIUM WOUND CARE PROS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GIANINA WALKER (PRESIDENT)
(404) 545-6888
Entity
Organization
Contact information
Practice address
1588 ATKINSON RD, LAWRENCEVILLE, GA 30043-7963
(404) 545-6888
Mailing address
2231 HUNTERS GREEN DR, LAWRENCEVILLE, GA 30043-5182
(404) 545-6888
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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