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Contact Information

SOUTHEASTERN ADVANCED WOUND CARE
249 WINTON M BLOUNT LOOP
MONTGOMERY, AL36117-3507
 Phone: 334-695-4034
 Fax: 334-356-7838
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN ADVANCED WOUND CARE · (Female)

NPI # 1821985698
Status Active
Credentials
Entity Individual
Enumeration date 06/23/2025
Last updated 06/26/2025 - About 11 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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