Organization
NATIONAL TELEWOUND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE ALEXANDER (SECRETARY)
(678) 371-2204
Entity
Organization
Contact information
Practice address
374 OSPREY PT, STONE MOUNTAIN, GA 30087-6163
(678) 404-5631
(877) 210-5143
Mailing address
374 OSPREY PT, STONE MOUNTAIN, GA 30087-6163
(678) 404-5631
(877) 210-5143
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
033908
GA
Other
Enumeration date
10/11/2012
Last updated
10/19/2012
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