Organization
ONLINE WOUND CARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS ERIK SIEVEKING M.D. (CEO)
(615) 321-1010
Entity
Organization
Contact information
Practice address
204 23RD AVENUE NORTH, NASHVILLE, TN 37203
(615) 321-1010
Mailing address
204 23RD AVENUE NORTH, NASHVILLE, TN 37203
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
34315
TN
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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