Organization · NPI-2

Advanced Wound Solutions Of Ga LLC

Family Medicine · Atlanta, GA

NPI number1922849108
StatusActive
Last updated in NPPESJun 3, 2024

Details

NPI
1922849108
Entity type
Organization (NPI-2)
Legal business name
Advanced Wound Solutions Of Ga LLC
Organization subpart
No
Enumeration date
Jun 3, 2024
Certification date
Jun 3, 2024
Last updated
Jun 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

8735 Dunwoody Pl Ste 6
Atlanta, GA 30350-2995

Phone 214-422-8172

Mailing address

8735 Dunwoody Pl Ste 6
Atlanta, GA 30350-2995

Phone 214-422-8172

Authorized official

Isaac Kevin Brooks
Owner
2144228172

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