Organization
NEW SKIN MOBILE WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE EARL LANDRUM II MD (OWNER)
(678) 542-7256
Entity
Organization
Contact information
Practice address
3786 ATLANTA RD SE, SMYRNA, GA 30080-5934
(678) 542-7256
Mailing address
3786 ATLANTA RD SE, SMYRNA, GA 30080-5934
(678) 542-7256
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/01/2025
Last updated
11/01/2025
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