Organization
WOUND CARE CLINIC ESU INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN G DAVIS (OWNER)
(731) 287-0804
Entity
Organization
Contact information
Practice address
509 LAKE RD, DYERSBURG, TN 38024-3877
(731) 287-0804
(731) 287-7373
Mailing address
509 LAKE RD, DYERSBURG, TN 38024-3877
(731) 287-0804
(731) 287-7373
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2006
Last updated
08/22/2020
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