Organization
INTEGRA MOBILE WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMAINE BAKER MD (CO-OWNER)
(315) 529-5251
Entity
Organization
Contact information
Practice address
1990 MILFIELD CIRLCE, SNELLVILLE, GA 30078
(315) 529-5251
Mailing address
1250 SCENIC HWY S, STE #1701-244, LAWRENCEVILLE, GA 30045-6359
(315) 529-5251
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/27/2023
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