Organization
WOUND CARE RESOURCES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAET TYRANSKI (DIRECT/OFFICER BIODERM, INC.)
(727) 507-7655
Entity
Organization
Contact information
Practice address
4 NEWBERN HWY, YORKVILLE, TN 38389-0009
(731) 643-6660
(731) 643-6800
Mailing address
PO BOX 155, YORKVILLE, TN 38389-0155
(731) 643-6660
(731) 643-6800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455111
—
TN
Enumeration date
06/26/2006
Last updated
11/19/2019
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