Organization · NPI-2

Advanced Vascular And Wound Care PC

· Prattville, AL

NPI number1962293084
StatusActive
Last updated in NPPESMay 16, 2025

Details

NPI
1962293084
Entity type
Organization (NPI-2)
Legal business name
Advanced Vascular And Wound Care PC
Organization subpart
No
Enumeration date
May 16, 2025
Certification date
May 16, 2025
Last updated
May 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0129X ––Yes
207Q00000X Family Medicine––

Practice location

104 Josie Run
Prattville, AL 36066-7362

Phone 334-659-4717

Mailing address

7956 Vaughn Rd Ste 165
Montgomery, AL 36116-6819

Authorized official

Justin Parden
Owner/Ao
3346594717

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