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Contact Information

SOUTHEASTERN WOUND CARE SERVICES, INC
1412 MILSTEAD AVE NE
ROCKDALE MEDICAL CENTER
CONYERS, GA30012-3877
 Phone: 678-413-7738
 Fax: 678-413-7739
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

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

NPI Number 1710175500
Status Active
Credentials
Entity Individual
Enumeration date 10/05/2007
Last updated 09/18/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 59757
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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