Integra Mobile Wound Care LLC
Orthopaedic Surgery in Snellville, GA. Organization (NPI-2).
NPI number1992573380
StatusActive
Last updated in NPPESDec 27, 2023
Details
- NPI
- 1992573380
- Entity type
- Organization (NPI-2)
- Legal business name
- Integra Mobile Wound Care LLC
- Organization subpart
- No
- Enumeration date
- Dec 14, 2023
- Certification date
- Dec 27, 2023
- Last updated
- Dec 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
Practice location
1990 Milfield CirlceSnellville, GA 30078
Phone 315-529-5251
Mailing address
1250 Scenic Hwy SSte #1701-244
Lawrenceville, GA 30045-6359
Phone 315-529-5251
Authorized official
Charmaine Baker
Co-Owner
3155295251
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